Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 10956 | Date 14/12/2023 |
| Token No | SM/22-23/13781 14/12/2023 | Serial | 012 |
| Patient Name | Miss BISHAKHA MALLIK | Contact No | NOT GIVEN |
| Address | DEY STREET | Age | 60 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||