Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 05545 | Date 16/03/2022 |
| Token No | SM/21-22/2439 16/03/2022 | Serial | 004 |
| Patient Name | Mrs. SOMA DAS.. | Contact No | 8981218370 |
| Address | MANIKTALA | Age | 40 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||