Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 04451 | Date 07/06/2021 |
| Token No | SM/22-23/5595 17/10/2022 | Serial | 049 |
| Patient Name | Mrs. MONORAMA DAS | Contact No | |
| Address | Age | 44 Female | |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||