Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 06008 | Date 07/06/2022 |
| Token No | SM/22-23/3243 07/06/2022 | Serial | 009 |
| Patient Name | Mrs. MAMATA SHAW | Contact No | 9875671325 |
| Address | 21 RABINDRA BHAWAN | Age | 35 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||