Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 07237 | Date 14/10/2022 |
| Token No | SM/22-23/5495 14/10/2022 | Serial | 005 |
| Patient Name | Mrs. SONALI BISHOYI | Contact No | 6370191877 |
| Address | 302 FLAT NO, SHIVAM APARTMENT, BHAGIRATHI LANE | Age | 21 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||