Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 08968 | Date 04/05/2023 |
| Token No | SM/22-23/9427 06/05/2023 | Serial | 006 |
| Patient Name | Mrs. SANDHYA ADHIKARY | Contact No | 9748182827 |
| Address | TARAPUKUR GOVERNMENT QUARTER | Age | 56 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||