Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 07029 | Date 13/09/2022 |
| Token No | SM/22-23/5084 13/09/2022 | Serial | 010 |
| Patient Name | Mrs. SUNITA RAY | Contact No | 9088419563 |
| Address | 5 LBS ROAD | Age | 41 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||