Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 09096 | Date 18/05/2023 |
| Token No | SM/22-23/9650 18/05/2023 | Serial | 010 |
| Patient Name | Mrs. RINKI CHATTERJEE..,. | Contact No | 9875567531 |
| Address | 201 POTUA PARA | Age | 31 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||