Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 06768 | Date 17/08/2022 |
| Token No | SM/22-23/4587 17/08/2022 | Serial | 019 |
| Patient Name | Mrs. NANDITA DEY | Contact No | 9681524152 |
| Address | 108 N N COLONY | Age | 44 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||