Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 05548 | Date 16/03/2022 |
| Token No | SM/24-25/19920 26/11/2024 | Serial | 017 |
| Patient Name | Mrs. BHABANI UPADHYAY | Contact No | 9903126808 |
| Address | 108G POTUA PARA LANE | Age | 61 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||