Ticket for Outdoor Patient
| Ward No. 24 | U-PHC No. | Registration No. 08860 | Date 25/04/2023 |
| Token No | SM/22-23/9152 25/04/2023 | Serial | 025 |
| Patient Name | Miss MOHUA MALAKAR | Contact No | NOT GIVEN |
| Address | GANGULY BAGAN | Age | 29 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||