Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 05779 | Date 05/05/2022 |
| Token No | SM/22-23/2864 05/05/2022 | Serial | 003 |
| Patient Name | Mrs. ANITA ROY | Contact No | 7438962518 |
| Address | 2 L M BHATTACHARJEE STREET | Age | 40 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||