Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 08201 | Date 31/01/2023 |
| Token No | SM/22-23/7575 31/01/2023 | Serial | 022 |
| Patient Name | Mrs. LATA BARIK | Contact No | 7978814676 |
| Address | 12 PITAMBAR DEY LANE | Age | 32 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||