Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 07536 | Date 07/11/2022 |
| Token No | SM/22-23/6061 07/11/2022 | Serial | 011 |
| Patient Name | Mrs. KAJAL SHAW | Contact No | 6290739636 |
| Address | 23 BARAL BAGAN | Age | 25 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||