Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 07197 | Date 11/10/2022 |
| Token No | SM/22-23/5415 11/10/2022 | Serial | 015 |
| Patient Name | Mrs. PAMPA BISWAS | Contact No | 9804941971 |
| Address | 1A KASHI DAKTAR LANE | Age | 56 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||