Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 07336 | Date 19/10/2022 |
| Token No | SM/22-23/5673 19/10/2022 | Serial | 010 |
| Patient Name | Miss PUSPITA DEY | Contact No | 8017196640 |
| Address | 108 NEHERU NAGAR COLONY | Age | 8 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||