Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 09513 | Date 30/06/2023 |
| Token No | SM/22-23/14042 02/01/2024 | Serial | 009 |
| Patient Name | Mrs. RITA BHATTACHARYA.. | Contact No | 8420318424 |
| Address | 126/A N.N. COLONY | Age | 53 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||