Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 10855 | Date 01/12/2023 |
| Token No | SM/22-23/13486 01/12/2023 | Serial | 001 |
| Patient Name | Mrs. PINKI BAG | Contact No | 9073591132 |
| Address | 8 K C BHATTACHARJEE STREET | Age | 24 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||