Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 07979 | Date 17/12/2022 |
| Token No | SM/22-23/7058 17/12/2022 | Serial | 004 |
| Patient Name | Mrs. NAMITA LAHA NAHA | Contact No | 7890490882 |
| Address | 46 DEY BAGAN | Age | 48 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||