Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 07532 | Date 07/11/2022 |
| Token No | SM/22-23/6057 07/11/2022 | Serial | 007 |
| Patient Name | Mrs. BARSHA DAS | Contact No | 6289249387 |
| Address | K M SHA STREET | Age | 19 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||