Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 08301 | Date 09/02/2023 |
| Token No | SM/22-23/7765 09/02/2023 | Serial | 007 |
| Patient Name | Mrs. SADHANA GUIN | Contact No | 9832124490 |
| Address | 11/ SHITALA TALA ROAD | Age | 49 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||