Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 07810 | Date 25/11/2022 |
| Token No | SM/22-23/6641 25/11/2022 | Serial | 020 |
| Patient Name | Mrs. DEBANKITA DAS | Contact No | 8478964890 |
| Address | PATUA PARA | Age | 18 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||