Ticket for Outdoor Patient
| Ward No. 20 | U-PHC No. | Registration No. 06767 | Date 17/08/2022 |
| Token No | SM/22-23/4586 17/08/2022 | Serial | 018 |
| Patient Name | Mrs. PAPIYA GHORUI | Contact No | 6290521012 |
| Address | 310 NITYA GOPAL DAS LANE | Age | 33 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||