Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 06649 | Date 08/08/2022 |
| Token No | SM/22-23/4377 08/08/2022 | Serial | 003 |
| Patient Name | Mrs. SUMANA DE | Contact No | 9830807411 |
| Address | 645 G T ROAD, KALITALA | Age | 51 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||