Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 05534 | Date 14/03/2022 |
| Token No | SM/21-22/2409 14/03/2022 | Serial | 011 |
| Patient Name | Mrs. RANU SARKAR | Contact No | 8420843319 |
| Address | 22C NOTUN BAGAN | Age | 54 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||