Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 08583 | Date 20/03/2023 |
| Token No | SM/22-23/8391 20/03/2023 | Serial | 006 |
| Patient Name | Mrs. MITHU DAS | Contact No | 6290107088 |
| Address | SERAMPORE, K.M. SHA STREET | Age | 27 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||