Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 08472 | Date 28/02/2023 |
| Token No | SM/22-23/8103 28/02/2023 | Serial | 022 |
| Patient Name | Mrs. GAYETRI DEVI,,,, | Contact No | 6290932477 |
| Address | MANIKTALA, DEY BAGAN.. | Age | 35 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||