Ticket for Outdoor Patient
| Ward No. 23 | U-PHC No. | Registration No. 07701 | Date 16/11/2022 |
| Token No | SM/22-23/6394 16/11/2022 | Serial | 024 |
| Patient Name | Mrs. MANIDIPA NANDI | Contact No | 7980257929 |
| Address | 105/B RAILAND CIRCULAR ROAD | Age | 38 Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||