Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05656 | Date 14/11/2023 |
| Token No | SM/22-23/15503 14/11/2023 | Serial | 023 |
| Patient Name | Mrs. NIPA DAS | Contact No | 8158829947 |
| Address | SOMRABAZAR | Age | 33 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||