Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 05808 | Date 10/05/2022 |
| Token No | SM/22-23/2909 10/05/2022 | Serial | 002 |
| Patient Name | Mrs. LAKSHMI DEBI | Contact No | 8100300771 |
| Address | BORAL BAGAN, PACHU BAZAR | Age | 48 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||