Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08264 | Date 06/02/2023 |
| Token No | SM/22-23/7700 06/02/2023 | Serial | 015 |
| Patient Name | Mrs. ARPITA MONDAL | Contact No | 9876142571 |
| Address | HOSANPUR | Age | 19 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||