Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 01901 | Date 09/04/2019 |
| Token No | SM/22-23/9527 12/05/2023 | Serial | 015 |
| Patient Name | Mrs. SOVA DEY | Contact No | 9163552914 |
| Address | KAILASH CHATTERJEE LANE | Age | 70 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||