Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 08706 | Date 05/04/2023 |
| Token No | SM/22-23/8727 05/04/2023 | Serial | 014 |
| Patient Name | Mrs. KAKALI MAITRA | Contact No | 9875583037 |
| Address | 14 NILMONI GHOSH LANE | Age | 50 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||