Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 10283 | Date 04/09/2023 |
| Token No | SM/22-23/14959 27/02/2024 | Serial | 011 |
| Patient Name | Mrs. PAYEL RAY | Contact No | 7044108402 |
| Address | 3 PITAMBAR DEY LANE | Age | 21 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||