Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 08221 | Date 01/02/2023 |
| Token No | SM/22-23/7622 01/02/2023 | Serial | 017 |
| Patient Name | Mrs. ANIMA DUTTA | Contact No | 9330253431 |
| Address | 24A/1 BARAL BAGAN | Age | 49 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||