Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 08948 | Date 02/05/2023 |
| Token No | SM/22-23/9321 02/05/2023 | Serial | 033 |
| Patient Name | Mrs. ASHALATA DAS | Contact No | 9830908100 |
| Address | BHAGIRATHI LANE | Age | 65 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||