Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 07333 | Date 19/10/2022 |
| Token No | SM/22-23/5669 19/10/2022 | Serial | 006 |
| Patient Name | Miss SUBHASREE DUTTA | Contact No | 7890843655 |
| Address | 34 DEY BAGAN | Age | 10 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||