Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 03741 | Date 14/01/2020 |
| Token No | SM/22-23/4133 27/07/2022 | Serial | 035 |
| Patient Name | Miss RUPA PASI | Contact No | 9883071314 |
| Address | 18 K M BHATTACHARJEES SREET | Age | 26 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||