Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 09090 | Date 17/05/2023 |
| Token No | SM/22-23/9634 17/05/2023 | Serial | 028 |
| Patient Name | Mrs. LACHHMI DEBI.. | Contact No | 9051126900 |
| Address | 1 A.B. MUKHERJEE LANE | Age | 60 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||