Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 07410 | Date 26/10/2022 |
| Token No | SM/22-23/5823 26/10/2022 | Serial | 007 |
| Patient Name | Mrs. RIYA PAL | Contact No | 6289248234 |
| Address | 19/2/B POTUA PARA | Age | 24 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||