Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 06881 | Date 02/09/2022 |
| Token No | SM/22-23/4828 02/09/2022 | Serial | 024 |
| Patient Name | Mrs. ALORANI GHOSH | Contact No | 6291537738 |
| Address | CHATRA MALLICKPARA | Age | 71 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||