Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08259 | Date 06/02/2023 |
| Token No | SM/22-23/8524 24/03/2023 | Serial | 003 |
| Patient Name | Mrs. MAYA GHOSH | Contact No | 7044682369 |
| Address | 4 G.T. ROAD, BAIDYABATI (M) | Age | 85 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||