Ticket for Outdoor Patient
| Ward No. 20 | U-PHC No. | Registration No. 06619 | Date 04/08/2022 |
| Token No | SM/22-23/4305 04/08/2022 | Serial | 019 |
| Patient Name | Mrs. ILA DAS | Contact No | |
| Address | 15 SHIBTALA LANE | Age | 52 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||