Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 08289 | Date 08/02/2023 |
| Token No | SM/22-23/7747 08/02/2023 | Serial | 004 |
| Patient Name | Mrs. RINA DEBI PRASAD | Contact No | 7449781631 |
| Address | 25 K.M. BHATTACHARYA STREET | Age | 38 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||