Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 06016 | Date 07/06/2022 |
| Token No | SM/22-23/3252 07/06/2022 | Serial | 018 |
| Patient Name | Mrs. RISHA DEVI | Contact No | 9330450789 |
| Address | 18/94 N.L. BHATTACHARYA LANE | Age | 24 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||