Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 05403 | Date 09/02/2022 |
| Token No | SM/22-23/11982 25/08/2023 | Serial | 024 |
| Patient Name | Mrs. MILI NANDAN | Contact No | 8420518294 |
| Address | 7/5 POTUA PARA LANE | Age | 45 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||