Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 06862 | Date 01/09/2022 |
| Token No | SM/22-23/4800 01/09/2022 | Serial | 020 |
| Patient Name | Mrs. NEHA DEVI | Contact No | 6290466810 |
| Address | 162 DEY BAGAN | Age | 21 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||