Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 05832 | Date 12/05/2022 |
| Token No | SM/22-23/2952 12/05/2022 | Serial | 009 |
| Patient Name | Mrs. ANJANA HALDER | Contact No | 8444095828 |
| Address | 15 KHAS BAGAN LANE | Age | 71 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||