Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 05578 | Date 23/03/2022 |
| Token No | SM/22-23/3637 28/06/2022 | Serial | 014 |
| Patient Name | Mrs. PACHRATNA DEBI | Contact No | 9875669297 |
| Address | 1 AUDDY LANE | Age | 46 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||