Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08408 | Date 21/02/2023 |
| Token No | SM/22-23/7989 21/02/2023 | Serial | 014 |
| Patient Name | Mrs. BIJOLI GHOSH | Contact No | 8017115510 |
| Address | 256, 66/1/D RAMKRISHNA ROAD, BAIDYABATI | Age | 45 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||