Ticket for Outdoor Patient
| Ward No. 20 | U-PHC No. | Registration No. 07102 | Date 21/09/2022 |
| Token No | SM/22-23/5235 21/09/2022 | Serial | 007 |
| Patient Name | Mrs. RITA DAS.. | Contact No | 9433687940 |
| Address | SHIBTALA LANE | Age | 40 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||