Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 07668 | Date 15/11/2022 |
| Token No | SM/22-23/6323 15/11/2022 | Serial | 010 |
| Patient Name | Mrs. RESHMI ROY | Contact No | 7439216847 |
| Address | 5 L B S ROAD | Age | 24 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||