Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 05846 | Date 17/05/2022 |
| Token No | SM/22-23/2980 17/05/2022 | Serial | 006 |
| Patient Name | Mrs. SIMA DAS.. | Contact No | 9330584248 |
| Address | 22 BOSE PARA LANE | Age | 25 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||