Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 06740 | Date 16/08/2022 |
| Token No | SM/22-23/4543 16/08/2022 | Serial | 018 |
| Patient Name | Miss SONAMONI HAZRA | Contact No | 8017611194 |
| Address | 32 BARAL BAGAN | Age | 8 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||