Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 08139 | Date 09/01/2023 |
| Token No | SM/22-23/7416 09/01/2023 | Serial | 004 |
| Patient Name | Mrs. MITHU DAS | Contact No | 8582873780 |
| Address | 562 MANIKTALA | Age | 45 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||