Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 06947 | Date 06/09/2022 |
| Token No | SM/22-23/4945 06/09/2022 | Serial | 060 |
| Patient Name | Mrs. BAISHALI SINGHA ROY | Contact No | 7008947840 |
| Address | 88/B DEY STREET | Age | 40 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||