Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 06375 | Date 19/07/2022 |
| Token No | SM/22-23/4320 04/08/2022 | Serial | 034 |
| Patient Name | Mrs. TERAS DEBI | Contact No | 9330277688 |
| Address | 4 SITAL SARKAR LANE | Age | 80 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||