Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08737 | Date 10/04/2023 |
| Token No | SM/22-23/8796 10/04/2023 | Serial | 020 |
| Patient Name | Mrs. MAMTA DEBI | Contact No | 9304155065 |
| Address | DEY STREET | Age | 30 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||