Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 08703 | Date 05/04/2023 |
| Token No | SM/22-23/8722 05/04/2023 | Serial | 009 |
| Patient Name | Mrs. SUMITA DEY | Contact No | 9433406653 |
| Address | 4 DEY STREET | Age | 66 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||