Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 05501 | Date 08/03/2022 |
| Token No | SM/21-22/2341 08/03/2022 | Serial | 007 |
| Patient Name | Mrs. MOUMITA DUTTA | Contact No | 8420352747 |
| Address | 98/A NEHERU NAGAR COLONY | Age | 31 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||