Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 06546 | Date 29/07/2022 |
| Token No | SM/22-23/4173 29/07/2022 | Serial | 002 |
| Patient Name | Miss MENOKA PASWAN | Contact No | 6289975425 |
| Address | ASHUTOSH CHATTERJEE LANE | Age | 18 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||