Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 08413 | Date 21/02/2023 |
| Token No | SM/22-23/8814 10/04/2023 | Serial | 038 |
| Patient Name | Mrs. SUMITA HAZRA | Contact No | 8910519779 |
| Address | 32 BARAL BAGAN LANE | Age | 23 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||