Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 09041 | Date 15/05/2023 |
| Token No | SM/22-23/9554 15/05/2023 | Serial | 007 |
| Patient Name | Mrs. MAYA SIL | Contact No | 9836802823 |
| Address | RK ROAD, CHATRA, BHATTACHARJEE PARA | Age | 74 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||