Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 05614 | Date 31/03/2022 |
| Token No | SM/21-22/2563 31/03/2022 | Serial | 018 |
| Patient Name | Mrs. ARPITA DUTTA | Contact No | 8240408973 |
| Address | 23 L B S ROAD | Age | 24 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||