Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 06617 | Date 04/08/2022 |
| Token No | SM/22-23/4303 04/08/2022 | Serial | 017 |
| Patient Name | Mrs. SARASWATI SAHA | Contact No | |
| Address | 122/A N.N.COLONY | Age | 51 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||