Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 05816 | Date 10/05/2022 |
| Token No | SM/22-23/2925 10/05/2022 | Serial | 018 |
| Patient Name | Mrs. SWATI KARMAKAR | Contact No | 9674693573 |
| Address | 57/A/2 G T ROAD, KALITALA | Age | 27 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||