Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 06602 | Date 03/08/2022 |
| Token No | SM/22-23/4275 03/08/2022 | Serial | 021 |
| Patient Name | Mrs. MAMATA SAROJ | Contact No | 7980925886 |
| Address | 32/B RAIL QUATER | Age | 24 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||