Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 06144 | Date 18/06/2022 |
| Token No | SM/22-23/4331 04/08/2022 | Serial | 045 |
| Patient Name | Mrs. RAKHI DEBNATH | Contact No | 6289666941 |
| Address | 38 lbs road | Age | 18 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||