Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 08150 | Date 10/01/2023 |
| Token No | SM/22-23/7441 10/01/2023 | Serial | 019 |
| Patient Name | Mrs. ARATI DAS | Contact No | 8584887358 |
| Address | 76 K M SHA STREET | Age | 30 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||