Ticket for Outdoor Patient
| Ward No. 20 | U-PHC No. | Registration No. 05280 | Date 11/01/2022 |
| Token No | SM/21-22/1865 11/01/2022 | Serial | 012 |
| Patient Name | Mrs. CHANDRA DAS | Contact No | 9883261577 |
| Address | 5/C NANDALAL ADHIKARY LANE | Age | 40 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||