Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 03483 | Date 23/12/2022 |
| Token No | SM/22-23/6515 02/02/2023 | Serial | 038 |
| Patient Name | Mrs. MINU SIKDAR | Contact No | 8420420305 |
| Address | MOLLBER | Age | 46 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||