Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 06317 | Date 08/07/2022 |
| Token No | SM/22-23/3805 08/07/2022 | Serial | 010 |
| Patient Name | Mrs. YASODHA MANNA | Contact No | NOT GIVEN |
| Address | BAT TALA | Age | 70 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||