Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 09701 | Date 20/07/2023 |
| Token No | SM/22-23/11057 20/07/2023 | Serial | 017 |
| Patient Name | Mrs. PINKI DAS | Contact No | 9903219341 |
| Address | 134A N.N. COLONY | Age | 40 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||