Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 07696 | Date 16/11/2022 |
| Token No | SM/22-23/6379 16/11/2022 | Serial | 009 |
| Patient Name | Mrs. TAPATI DEY. | Contact No | 8820460080 |
| Address | 31 DOSTI LANE | Age | 72 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||