Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 07266 | Date 17/10/2022 |
| Token No | SM/22-23/5552 17/10/2022 | Serial | 006 |
| Patient Name | Mrs. PAYEL RAJBHAR | Contact No | 8697780362 |
| Address | 3 PITAMBAR DEY LANE | Age | 18 Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||