Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 04644 | Date 22/07/2021 |
| Token No | SM/21-22/686 22/07/2021 | Serial | 009 |
| Patient Name | Mrs. ..ABHA DAS | Contact No | 7439256151 |
| Address | 552 G T ROAD, MANIKTALA | Age | 56 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||