Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 06831 | Date 29/08/2022 |
| Token No | SM/22-23/4736 29/08/2022 | Serial | 007 |
| Patient Name | Mrs. SIKHA BASU | Contact No | NOT GIVEN |
| Address | 596 G.T. ROAD | Age | 60 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||