Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 08281 | Date 07/02/2023 |
| Token No | SM/22-23/7736 07/02/2023 | Serial | 031 |
| Patient Name | Mrs. PUJA SHAW | Contact No | 9088461817 |
| Address | 36 PANDIT KALINATH BHATTACHJARYA STREET | Age | 23 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||