Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 02324 | Date 20/06/2019 |
| Token No | SM/22-23/6784 02/12/2022 | Serial | 013 |
| Patient Name | Mrs. RITA DEY | Contact No | 9804028776 |
| Address | 8/B DEY ST | Age | 55 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||