Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 07413 | Date 26/10/2022 |
| Token No | SM/22-23/5827 26/10/2022 | Serial | 011 |
| Patient Name | Mrs. SOMA DE | Contact No | 7278028226 |
| Address | 1/A BECHU DEY LANE | Age | 29 Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||