Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 06884 | Date 02/09/2022 |
| Token No | SM/22-23/4831 02/09/2022 | Serial | 027 |
| Patient Name | Mrs. MONIMALA PRAMANIK | Contact No | 9163403229 |
| Address | B P DEY STREET | Age | 71 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||