Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 05437 | Date 16/02/2022 |
| Token No | SM/21-22/2173 16/02/2022 | Serial | 018 |
| Patient Name | Mrs. SHRABANTI PAL | Contact No | NOT GIVEN |
| Address | THAKUR BATI STREET | Age | 30 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||