Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 08873 | Date 26/04/2023 |
| Token No | SM/22-23/9292 02/05/2023 | Serial | 004 |
| Patient Name | Mrs. KASTURI SAHA | Contact No | 9804076113 |
| Address | 51/F RAYLAND ROAD | Age | 60 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||