Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 08992 | Date 10/05/2023 |
| Token No | SM/22-23/9460 10/05/2023 | Serial | 020 |
| Patient Name | Mrs. ASTU SHAW | Contact No | 7044683956 |
| Address | 21 T.P. BHATTACHARYA STREET | Age | 43 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||