Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 08397 | Date 21/02/2023 |
| Token No | SM/22-23/8365 17/03/2023 | Serial | 011 |
| Patient Name | Mrs. GITA DAS | Contact No | 7044756794 |
| Address | K M SHA STREET | Age | 51 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||