Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 07039 | Date 14/09/2022 |
| Token No | SM/22-23/5118 14/09/2022 | Serial | 017 |
| Patient Name | Mrs. SANDIPA JANA | Contact No | 8276883162 |
| Address | 180 N N COLONY | Age | 36 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||