Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 08309 | Date 09/02/2023 |
| Token No | SM/22-23/7780 09/02/2023 | Serial | 022 |
| Patient Name | Mrs. PALLABI PATRA | Contact No | 9641355857 |
| Address | 39/B BHAGIRATHI LANE | Age | 26 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||