Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 08694 | Date 04/04/2023 |
| Token No | SM/24-25/16450 23/05/2024 | Serial | 020 |
| Patient Name | Mrs. SUJATA MALLICK | Contact No | 8777654034 |
| Address | 12 PITAMBAR DEY LANE | Age | 31 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||