Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08294 | Date 08/02/2023 |
| Token No | SM/22-23/7758 08/02/2023 | Serial | 015 |
| Patient Name | Mrs. SURAVI ROY | Contact No | 7980819808 |
| Address | 1 PILKHANA LANE, BARDHAMAN | Age | 68 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||