Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 05871 | Date 18/05/2022 |
| Token No | SM/24-25/16973 19/06/2024 | Serial | 027 |
| Patient Name | Mrs. MIRA DEY | Contact No | 9831595476 |
| Address | 595A G T ROAD, SIRISHTALA | Age | 76 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||