Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 07732 | Date 18/11/2022 |
| Token No | SM/22-23/14167 08/01/2024 | Serial | 031 |
| Patient Name | Mrs. SMITIKA DEY | Contact No | 8961009477 |
| Address | 40/A/1 MADAM BAGAN LANE | Age | 16 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||