Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 08514 | Date 06/03/2023 |
| Token No | SM/22-23/8197 06/03/2023 | Serial | 003 |
| Patient Name | Mrs. TUNU DUTTA | Contact No | 8013248496 |
| Address | CHATRA BARUIPARA | Age | 55 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||