Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 03588 | Date 09/12/2019 |
| Token No | SM/22-23/13501 01/12/2023 | Serial | 016 |
| Patient Name | Mrs. SUJATA MALLICK | Contact No | 9339931688 |
| Address | 12 PTAMBAR DEY LANE | Age | 32 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||