Ticket for Outdoor Patient
| Ward No. 25 | U-PHC No. | Registration No. 04816 | Date 27/08/2021 |
| Token No | SM/21-22/967 27/08/2021 | Serial | 003 |
| Patient Name | Mrs. ANIMA DAS | Contact No | 9088518787 |
| Address | 249/2 MAHESH COLONY | Age | 50 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||