Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 06021 | Date 07/06/2022 |
| Token No | SM/22-23/3260 07/06/2022 | Serial | 026 |
| Patient Name | Mrs. SULATA BISWAS KHATIK | Contact No | NOT GIVEN |
| Address | 2 L.B.S ROAD | Age | 38 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||