Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 06898 | Date 02/09/2022 |
| Token No | SM/22-23/4845 02/09/2022 | Serial | 041 |
| Patient Name | Mrs. KUMKUM DAS | Contact No | 8240582150 |
| Address | 17/A MIAJAN DARJI LANE | Age | 65 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||