Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 06448 | Date 22/07/2022 |
| Token No | SM/22-23/3982 22/07/2022 | Serial | 021 |
| Patient Name | Mrs. MOUSUMI DAS | Contact No | 9123974902 |
| Address | 72/K PATUA PARA | Age | 19 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||