Ticket for Outdoor Patient
| Ward No. 23 | U-PHC No. | Registration No. 05923 | Date 24/05/2022 |
| Token No | SM/22-23/3088 24/05/2022 | Serial | 027 |
| Patient Name | Mrs. PUSPA SAMANTA | Contact No | 9972458390 |
| Address | 40 GANGULY BAGAN | Age | 35 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||