Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 07788 | Date 24/11/2022 |
| Token No | SM/22-23/6588 24/11/2022 | Serial | 002 |
| Patient Name | Mrs. RITA DAS... | Contact No | 7596955983 |
| Address | 3 DOSTI LANE | Age | 57 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||