Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 06604 | Date 03/08/2022 |
| Token No | SM/22-23/4278 03/08/2022 | Serial | 024 |
| Patient Name | Mrs. DAMINI BHUIYA | Contact No | 7278363555 |
| Address | JUBILI BASTI | Age | 18 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||