Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 06026 | Date 08/06/2022 |
| Token No | SM/22-23/3271 08/06/2022 | Serial | 005 |
| Patient Name | Mrs. PUNAM DAS... | Contact No | 6291960713 |
| Address | 21 BOSE PARA LANE | Age | 20 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||