Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 07098 | Date 20/09/2022 |
| Token No | SM/22-23/5223 20/09/2022 | Serial | 015 |
| Patient Name | Mrs. SANDHYA SADHUKHAN | Contact No | NOT GIVEN |
| Address | 7 G.T.ROAD, BOTTALA | Age | 65 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||