Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 07801 | Date 24/11/2022 |
| Token No | SM/22-23/7353 04/01/2023 | Serial | 016 |
| Patient Name | Mrs. AITIJHYA BHADURI | Contact No | 6291325532 |
| Address | 7 PATUA PARA LANE | Age | 28 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||