Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 08580 | Date 20/03/2023 |
| Token No | SM/22-23/8388 20/03/2023 | Serial | 003 |
| Patient Name | Mrs. SUSMITA BANERJEE | Contact No | 7980230870 |
| Address | 34 R B SARANI | Age | 25 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||