Ticket for Outdoor Patient
| Ward No. 24 | U-PHC No. | Registration No. 06168 | Date 21/06/2022 |
| Token No | SM/22-23/3510 21/06/2022 | Serial | 003 |
| Patient Name | Mrs. KANTI DEVI | Contact No | 8622842087 |
| Address | 1/O RAILAND ROAD | Age | 45 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||