Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 08171 | Date 18/01/2023 |
| Token No | SM/22-23/7520 18/01/2023 | Serial | 001 |
| Patient Name | Mrs. SANGITA PAL NATH | Contact No | 9163031332 |
| Address | 112 THAKUR BATI STREET | Age | 32 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||