Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 00188 | Date 17/08/2018 |
| Token No | SM/22-23/4548 16/08/2022 | Serial | 023 |
| Patient Name | Mrs. NABANITA DEY | Contact No | |
| Address | DEY STREET | Age | 28 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||