Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 07140 | Date 26/09/2022 |
| Token No | SM/22-23/5542 15/10/2022 | Serial | 004 |
| Patient Name | Mrs. PURNA SARKAR | Contact No | 9038075537 |
| Address | N N COLONY | Age | 62 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||