Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 05257 | Date 07/01/2022 |
| Token No | SM/21-22/1836 07/01/2022 | Serial | 017 |
| Patient Name | Mrs. ANJANA BISWAS | Contact No | 6289741545 |
| Address | 16 K M SHA STREET | Age | 37 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||