Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 06534 | Date 28/07/2022 |
| Token No | SM/22-23/4146 28/07/2022 | Serial | 008 |
| Patient Name | Mrs. PRANTIKA GHOSH | Contact No | NOT GIVEN |
| Address | 118 NEHERU NAGAR COLONY | Age | 27 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||