Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 08247 | Date 03/02/2023 |
| Token No | SM/22-23/7669 03/02/2023 | Serial | 008 |
| Patient Name | Mrs. BABANTI DEBI | Contact No | 8820981483 |
| Address | 14B DEY STREET | Age | 46 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||