Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 08949 | Date 02/05/2023 |
| Token No | SM/22-23/9322 02/05/2023 | Serial | 034 |
| Patient Name | Mrs. KEYARANI BERA | Contact No | 9674658988 |
| Address | B P DEY STREET | Age | 76 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||