Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 09086 | Date 17/05/2023 |
| Token No | SM/22-23/9629 17/05/2023 | Serial | 023 |
| Patient Name | Mrs. SUSMITA SANTRA | Contact No | 8479830965 |
| Address | 52/M J N LAHIRI ROAD | Age | 26 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||