Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06946 | Date 06/09/2022 |
| Token No | SM/22-23/4944 06/09/2022 | Serial | 059 |
| Patient Name | Mrs. SUMITRA LAHA | Contact No | NOT GIVEN |
| Address | 17 SATYA CHARAN SASHTRI STREET | Age | 65 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||