Ticket for Outdoor Patient
| Ward No. 21 | U-PHC No. | Registration No. 05725 | Date 20/04/2022 |
| Token No | SM/22-23/2755 20/04/2022 | Serial | 009 |
| Patient Name | Mrs. MOUMITA TALUKDAR | Contact No | 8777815165 |
| Address | MAHESH, LAXMIGHAT | Age | 36 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||