Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08754 | Date 11/04/2023 |
| Token No | SM/22-23/8861 11/04/2023 | Serial | 027 |
| Patient Name | Mrs. MANJU BHOWMICK | Contact No | 8100601510 |
| Address | 18/11 JANNAGAR ROAD | Age | 63 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||