Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 06306 | Date 07/07/2022 |
| Token No | SM/22-23/3786 07/07/2022 | Serial | 008 |
| Patient Name | Mrs. SOMA DAS | Contact No | NOT GIVEN |
| Address | N.N.COLONY | Age | 34 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||