Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 08434 | Date 23/02/2023 |
| Token No | SM/22-23/8038 23/02/2023 | Serial | 007 |
| Patient Name | Mrs. BARNALI LAHA | Contact No | 8013582270 |
| Address | 29A BARUI PARA LANE | Age | 47 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||