Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 06818 | Date 25/08/2022 |
| Token No | SM/22-23/4699 25/08/2022 | Serial | 010 |
| Patient Name | Mrs. UNDAN KHATUN | Contact No | 6289992906 |
| Address | INDIA JUTE MILL | Age | 75 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||