Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 09156 | Date 23/05/2023 |
| Token No | SM/22-23/9767 23/05/2023 | Serial | 006 |
| Patient Name | Mrs. MINAKSHI DEY | Contact No | 8012394015 |
| Address | 63/B DEY STREET | Age | 73 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||