Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 06290 | Date 06/07/2022 |
| Token No | SM/22-23/3757 06/07/2022 | Serial | 001 |
| Patient Name | Mrs. PREMLATA SHA | Contact No | 8820658675 |
| Address | SERAMPORE COURT | Age | 53 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||