Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08066 | Date 29/12/2022 |
| Token No | SM/22-23/8393 20/03/2023 | Serial | 008 |
| Patient Name | Mrs. APARNA DUTTA | Contact No | 7699469559 |
| Address | VILL- BARADONGAL | Age | 46 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||