Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 05708 | Date 19/04/2022 |
| Token No | SM/22-23/2728 19/04/2022 | Serial | 019 |
| Patient Name | Miss SONAMUNI HAZRA | Contact No | 9883845385 |
| Address | 32 BARAL BAGAN | Age | 6 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||