Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 08187 | Date 31/01/2023 |
| Token No | SM/22-23/7556 31/01/2023 | Serial | 003 |
| Patient Name | Mrs. SUMITA SANYAL | Contact No | 8981539713 |
| Address | 41 K D B LANE | Age | 42 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||