Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 07412 | Date 26/10/2022 |
| Token No | SM/22-23/5825 26/10/2022 | Serial | 009 |
| Patient Name | Mrs. PRITI PAUL SAHA | Contact No | 8274099811 |
| Address | 111 N N COLONY | Age | 26 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||