Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08453 | Date 24/02/2023 |
| Token No | SM/22-23/8065 24/02/2023 | Serial | 004 |
| Patient Name | Mrs. ASHA SADHUKHAN | Contact No | 6291507197 |
| Address | 110 142/1 G T ROAD, BAIDYABATI | Age | 51 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||