Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 06891 | Date 02/09/2022 |
| Token No | SM/22-23/4838 02/09/2022 | Serial | 034 |
| Patient Name | Mrs. MIRA DAS | Contact No | 9831428112 |
| Address | 65 JANNAGAR ROAD | Age | 64 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||