Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07209 | Date 12/10/2022 |
| Token No | SM/22-23/5437 12/10/2022 | Serial | 006 |
| Patient Name | Mrs. UMA DAS | Contact No | 9832123730 |
| Address | BAKURA JAIRAMBATI | Age | 49 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||