Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 08976 | Date 04/05/2023 |
| Token No | SM/22-23/9402 04/05/2023 | Serial | 022 |
| Patient Name | Mrs. CHAYNA BHATTACHARJEE | Contact No | 9875576531 |
| Address | 108C POTUA PARA LANE | Age | 50 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||