Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 05546 | Date 16/03/2022 |
| Token No | SM/21-22/2440 16/03/2022 | Serial | 005 |
| Patient Name | Mrs. KALYANI NANDI | Contact No | 9007258778 |
| Address | 34/E K M SHA STREET | Age | 63 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||