Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 09023 | Date 12/05/2023 |
| Token No | SM/22-23/9523 12/05/2023 | Serial | 011 |
| Patient Name | Mrs. SABITA GHOSH | Contact No | 9123884149 |
| Address | 39 LBS ROAD | Age | 50 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||