Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 08537 | Date 14/03/2023 |
| Token No | SM/22-23/8269 14/03/2023 | Serial | 005 |
| Patient Name | Mrs. PRIYANKA DAS | Contact No | 7003186530 |
| Address | 7B ANATH BANDHU MUKHERJEE LANE | Age | 35 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||