Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 08115 | Date 05/01/2023 |
| Token No | SM/22-23/7374 05/01/2023 | Serial | 009 |
| Patient Name | Mrs. UMA MONDAL | Contact No | 9163642743 |
| Address | 41 N L BHATTACHARJEE STREET | Age | 58 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||