Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 10755 | Date 08/11/2023 |
| Token No | SM/22-23/13227 08/11/2023 | Serial | 005 |
| Patient Name | Mrs. SABITA DEY | Contact No | 7631630099 |
| Address | PACHU BAZAR | Age | 30 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||