Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 06679 | Date 10/08/2022 |
| Token No | SM/22-23/4416 10/08/2022 | Serial | 001 |
| Patient Name | Mrs. SUBHASHREE DAS. | Contact No | 9038369769 |
| Address | 14/B N N COLONY | Age | 33 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||