Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 06234 | Date 28/06/2022 |
| Token No | SM/22-23/5255 22/09/2022 | Serial | 002 |
| Patient Name | Mrs. SABITA MONDAL | Contact No | 9051509755 |
| Address | 15/A LIBRARY LANE | Age | 66 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||