Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 06087 | Date 14/06/2022 |
| Token No | SM/22-23/3384 14/06/2022 | Serial | 004 |
| Patient Name | Mrs. BANDANA SHEET | Contact No | 8017278346 |
| Address | 28/5 S B GHOSH LANE | Age | 30 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||