Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 06861 | Date 01/09/2022 |
| Token No | SM/22-23/4799 01/09/2022 | Serial | 019 |
| Patient Name | Mrs. JUHI SARKAR | Contact No | 8420358702 |
| Address | 100 NEHERU NAGAR COLONY | Age | 26 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||