Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 06138 | Date 17/06/2022 |
| Token No | SM/22-23/3474 17/06/2022 | Serial | 022 |
| Patient Name | Mrs. SONAMATI DEBI | Contact No | NOT GIVEN |
| Address | 26 RAILAND ROAD | Age | 28 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||