Ticket for Outdoor Patient
| Ward No. 20 | U-PHC No. | Registration No. 05995 | Date 02/06/2022 |
| Token No | SM/22-23/3218 02/06/2022 | Serial | 002 |
| Patient Name | Mrs. MANDIRA DAS | Contact No | NOT GIVEN |
| Address | MAHESH LAXMIGHAT | Age | 34 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||