Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 09026 | Date 12/05/2023 |
| Token No | SM/22-23/9529 12/05/2023 | Serial | 017 |
| Patient Name | Mrs. RITABHARI DAS | Contact No | 9830658744 |
| Address | 107 J N LAHIRI ROAD | Age | 29 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||