Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 09238 | Date 05/06/2023 |
| Token No | SM/22-23/9971 05/06/2023 | Serial | 018 |
| Patient Name | Mrs. ASHMA KHATUN | Contact No | NOT GIVEN |
| Address | KONNAGAR | Age | 45 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||