Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 06997 | Date 09/09/2022 |
| Token No | SM/22-23/5022 09/09/2022 | Serial | 003 |
| Patient Name | Mrs. MANA DAS | Contact No | 9874859874 |
| Address | 54 NEW MAHESH | Age | 39 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||