Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 05551 | Date 16/03/2022 |
| Token No | SM/21-22/2447 16/03/2022 | Serial | 012 |
| Patient Name | Mrs. SHIBANI DEY | Contact No | 8274885736 |
| Address | 78 N N COLONY | Age | 23 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||