Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 06146 | Date 18/06/2022 |
| Token No | SM/22-23/3483 18/06/2022 | Serial | 008 |
| Patient Name | Mrs. NISHA ROY | Contact No | NOT GIVEN |
| Address | 3 L B S ROAD | Age | 58 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||