Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 07060 | Date 16/09/2022 |
| Token No | SM/22-23/5162 16/09/2022 | Serial | 005 |
| Patient Name | Mrs. SANGITA DAS... | Contact No | 7278920153 |
| Address | 4/B D R G C GOSWAMI STREET | Age | 46 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||