Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 09209 | Date 01/06/2023 |
| Token No | SM/22-23/9913 01/06/2023 | Serial | 021 |
| Patient Name | Mrs. TRIPTI GANGULY | Contact No | 9674392046 |
| Address | 14 DHULIPARA | Age | 56 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||