Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 08375 | Date 17/02/2023 |
| Token No | SM/22-23/7928 17/02/2023 | Serial | 023 |
| Patient Name | Mrs. SANTANA DAS | Contact No | 9339221898 |
| Address | 650/A G.T. ROAD | Age | 52 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||