Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08659 | Date 27/03/2023 |
| Token No | SM/22-23/8577 27/03/2023 | Serial | 024 |
| Patient Name | Mrs. MANJU BAG | Contact No | 9432689179 |
| Address | 31 JANNAGAR ROAD | Age | 45 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||