Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 08145 | Date 10/01/2023 |
| Token No | SM/22-23/7430 10/01/2023 | Serial | 008 |
| Patient Name | Mrs. JHARNA HALDER | Contact No | 7890290605 |
| Address | NAGA BAZAR | Age | 38 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||