Ticket for Outdoor Patient
| Ward No. 23 | U-PHC No. | Registration No. 06651 | Date 08/08/2022 |
| Token No | SM/22-23/4379 08/08/2022 | Serial | 005 |
| Patient Name | Mrs. DIBYA KOSTA | Contact No | 9685748200 |
| Address | 58 GANGULY BAGAN | Age | 26 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||