Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 05844 | Date 17/05/2022 |
| Token No | SM/22-23/3395 14/06/2022 | Serial | 015 |
| Patient Name | Mrs. RINKU DAS | Contact No | 7980999413 |
| Address | 26 T C GOSWAMI STREET | Age | 23 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||