Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 06485 | Date 26/07/2022 |
| Token No | SM/22-23/4063 26/07/2022 | Serial | 013 |
| Patient Name | Mrs. SHABANA BEGUM | Contact No | 9883306261 |
| Address | 40 PACHU GOPAL BHADURI SARANI | Age | 32 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||