Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 07027 | Date 13/09/2022 |
| Token No | SM/22-23/14111 04/01/2024 | Serial | 013 |
| Patient Name | Mrs. SUDAMA RAJBHAR | Contact No | 8881895072 |
| Address | K M BHATTACHARJEE STREET | Age | 71 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||