Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 06635 | Date 05/08/2022 |
| Token No | SM/22-23/4354 05/08/2022 | Serial | 003 |
| Patient Name | Mrs. ARJINA BEGUM | Contact No | 9748576492 |
| Address | 40 K M BHATTACHARJEE STREET | Age | 45 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||