Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 03924 | Date 13/03/2023 |
| Token No | SM/22-23/7505 13/03/2023 | Serial | 038 |
| Patient Name | Mrs. BASANTI BARIK | Contact No | 7003804183 |
| Address | 31 B L C ROAD SERAMPORE 18 | Age | 50 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||