Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 09139 | Date 22/05/2023 |
| Token No | SM/22-23/9736 22/05/2023 | Serial | 014 |
| Patient Name | Miss SONAMONI KARMAKAR | Contact No | 9674124015 |
| Address | 105 J.N. LAHIRI ROAD | Age | 47 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||