Ticket for Outdoor Patient
| Ward No. 20 | U-PHC No. | Registration No. 05819 | Date 11/05/2022 |
| Token No | SM/22-23/9280 29/04/2023 | Serial | 002 |
| Patient Name | Mrs. MILI DUTTA | Contact No | 9339682696 |
| Address | MAHESH, LAXMI GHAT | Age | 46 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||