Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 08251 | Date 04/02/2023 |
| Token No | SM/22-23/9445 10/05/2023 | Serial | 005 |
| Patient Name | Mrs. SIKHA DAS. | Contact No | 9836387064 |
| Address | 1 PIOTAMBAR DEY LANE | Age | 62 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||