Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06894 | Date 02/09/2022 |
| Token No | SM/22-23/4841 02/09/2022 | Serial | 037 |
| Patient Name | Mrs. PUTUL ROY | Contact No | 9830698544 |
| Address | 3/A G T ROAD WEST | Age | 49 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||