Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 06852 | Date 31/08/2022 |
| Token No | SM/22-23/4779 31/08/2022 | Serial | 003 |
| Patient Name | Mrs. MADHUMITA PAL | Contact No | |
| Address | 153 THAKUR BATI STREET | Age | 40 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||