Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 10208 | Date 29/08/2023 |
| Token No | SM/22-23/12084 29/08/2023 | Serial | 017 |
| Patient Name | Mrs. ANITA DAS | Contact No | 9836475088 |
| Address | 52 K M B STREET | Age | 35 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||