Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 07737 | Date 21/11/2022 |
| Token No | SM/22-23/6466 21/11/2022 | Serial | 006 |
| Patient Name | Mrs. MILI SARKAR | Contact No | 8777465506 |
| Address | 42 POTUA PARA | Age | 42 Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||