Ticket for Outdoor Patient
| Ward No. 25 | U-PHC No. | Registration No. 03986 | Date 27/03/2023 |
| Token No | SM/22-23/7829 27/03/2023 | Serial | 004 |
| Patient Name | Mrs. BIVA SAHA | Contact No | 9433818647 |
| Address | MAHESH SERAMPORE | Age | 65 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||