Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 08897 | Date 27/04/2023 |
| Token No | SM/22-23/9217 27/04/2023 | Serial | 020 |
| Patient Name | Mrs. NIPA ROY DAS | Contact No | NOT GIVEN |
| Address | 112 J.N. LAHIRI ROAD | Age | 62 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||