Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 07768 | Date 22/11/2022 |
| Token No | SM/22-23/6532 22/11/2022 | Serial | 023 |
| Patient Name | Mrs. MANJU SHAW.. | Contact No | NOT GIVEN |
| Address | DEY STREET | Age | 52 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||