Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05910 | Date 24/05/2022 |
| Token No | SM/22-23/4321 04/08/2022 | Serial | 035 |
| Patient Name | Mrs. SHILA MANNA | Contact No | NOT GIVEN |
| Address | NALIKUL | Age | 53 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||