Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 10164 | Date 28/08/2023 |
| Token No | SM/22-23/12028 28/08/2023 | Serial | 030 |
| Patient Name | Mrs. MANJU SAHA | Contact No | 8017150052 |
| Address | 129B NEHERU NAGAR COLONY | Age | 59 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||