Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10089 | Date 22/08/2023 |
| Token No | SM/22-23/11848 22/08/2023 | Serial | 027 |
| Patient Name | Mrs. MAMATA SHAW | Contact No | 8013146858 |
| Address | TIN BAZAR | Age | 32 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||