Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 07925 | Date 09/12/2022 |
| Token No | SM/22-23/6922 09/12/2022 | Serial | 025 |
| Patient Name | Mrs. KAKALI MALLICK | Contact No | 8017327694 |
| Address | 77 J.N. LAHIRI ROAD | Age | 52 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||