Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 05562 | Date 21/03/2022 |
| Token No | SM/21-22/2474 21/03/2022 | Serial | 009 |
| Patient Name | Miss NEHA KUAMRI GIRI | Contact No | 6290161239 |
| Address | 17/C N L BHATTACHARJEE STREET | Age | 21 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||