Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 10799 | Date 22/11/2023 |
| Token No | SM/22-23/13345 22/11/2023 | Serial | 020 |
| Patient Name | Mrs. UPASANA HALDER | Contact No | 9874316441 |
| Address | 148B N N COLONY | Age | 29 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||