Ticket for Outdoor Patient
| Ward No. 23 | U-PHC No. | Registration No. 06895 | Date 02/09/2022 |
| Token No | SM/22-23/4842 02/09/2022 | Serial | 038 |
| Patient Name | Mrs. AMITA DEBI | Contact No | 9433669874 |
| Address | 70/A KHATIR BAZAR LANE | Age | 67 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||