Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 05479 | Date 28/02/2022 |
| Token No | SM/21-22/2284 28/02/2022 | Serial | 009 |
| Patient Name | Mrs. MINA RAJBHAR | Contact No | NOT GIVEN |
| Address | TINBAZAR | Age | 41 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||