Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 06933 | Date 06/09/2022 |
| Token No | SM/22-23/4906 06/09/2022 | Serial | 021 |
| Patient Name | Mrs. SHRABANI NATH | Contact No | 8622830449 |
| Address | 17 BHAGIRATHI LANE | Age | 30 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||