Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 05111 | Date 26/11/2021 |
| Token No | SM/21-22/1514 26/11/2021 | Serial | 001 |
| Patient Name | Mrs. ANJANA DAS | Contact No | NOT GIVEN |
| Address | 112 PATUA PARA LANE | Age | 48 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||