Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 06226 | Date 28/06/2022 |
| Token No | SM/22-23/3625 28/06/2022 | Serial | 002 |
| Patient Name | Mrs. PARNA SEN | Contact No | 8777391070 |
| Address | 50 DEY STREET | Age | 36 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||