Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 07431 | Date 28/10/2022 |
| Token No | SM/22-23/5866 28/10/2022 | Serial | 017 |
| Patient Name | Mrs. SATIMA DAS | Contact No | 8777395970 |
| Address | 64 J N LAHIRI ROAD | Age | 48 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||