Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 06267 | Date 04/07/2022 |
| Token No | SM/22-23/3724 04/07/2022 | Serial | 006 |
| Patient Name | Mrs. TANIMA DEY | Contact No | 9163193107 |
| Address | A B GARDEN LANE | Age | 26 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||