Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 08095 | Date 02/01/2023 |
| Token No | SM/24-25/18617 05/09/2024 | Serial | 009 |
| Patient Name | Mrs. LABANI DAS | Contact No | 7586811285 |
| Address | DEY STREET, 3 PITAMBAR DEY LANE | Age | 28 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||