Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08839 | Date 24/04/2023 |
| Token No | SM/22-23/9105 24/04/2023 | Serial | 040 |
| Patient Name | Mrs. BAISHAKHI GHOSH | Contact No | 8617798452 |
| Address | 67/D J N LAHIRI ROAD | Age | 21 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||