Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 10163 | Date 28/08/2023 |
| Token No | SM/22-23/12027 28/08/2023 | Serial | 029 |
| Patient Name | Mrs. ARUTI SAHA | Contact No | 8017150052 |
| Address | 129 B NEHERU NAGAR COLONY | Age | 26 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||