Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 08913 | Date 28/04/2023 |
| Token No | SM/22-23/9249 28/04/2023 | Serial | 011 |
| Patient Name | Mrs. RATNA DAS | Contact No | 7008578945 |
| Address | 5 DOSTI LANE | Age | 55 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||