Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 06220 | Date 27/06/2022 |
| Token No | SM/22-23/3616 27/06/2022 | Serial | 012 |
| Patient Name | Miss RAJNI SINGH | Contact No | 9875446679 |
| Address | 23 N.L. BHATTACHARYA ST | Age | 20 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||