Ticket for Outdoor Patient
| Ward No. 22 | U-PHC No. | Registration No. 04325 | Date 14/06/2023 |
| Token No | SM/22-23/9575 14/06/2023 | Serial | 025 |
| Patient Name | Mrs. ANJALI DAS | Contact No | 8442964441 |
| Address | 1115/55/BA G T ROAD BAIDYABATI M 712222 | Age | 49 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 57 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||