Ticket for Outdoor Patient
| Ward No. 24 | U-PHC No. | Registration No. 06761 | Date 17/08/2022 |
| Token No | SM/22-23/4580 17/08/2022 | Serial | 012 |
| Patient Name | Mrs. KANIKA GHOSH | Contact No | NOT GIVEN |
| Address | 310 MAHESH COLONY | Age | 56 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||