Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 05635 | Date 04/04/2022 |
| Token No | SM/22-23/2600 04/04/2022 | Serial | 006 |
| Patient Name | Mrs. KABITA DAS.. | Contact No | 7673860340 |
| Address | 573 MANIKTALA | Age | 33 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||