Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08260 | Date 06/02/2023 |
| Token No | SM/22-23/8942 18/04/2023 | Serial | 003 |
| Patient Name | Mrs. BITHIKA ADHIKARY | Contact No | 7449961225 |
| Address | 78/25/F TELIPARA BAIDYABATI (M) | Age | 60 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||