Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 08023 | Date 27/12/2022 |
| Token No | SM/22-23/7176 27/12/2022 | Serial | 020 |
| Patient Name | Mrs. IVA GHOSH | Contact No | 7044575871 |
| Address | 556 G T ROAD MANIKTALA | Age | 50 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||