Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 08241 | Date 03/02/2023 |
| Token No | SM/22-23/7662 03/02/2023 | Serial | 001 |
| Patient Name | Mrs. MIRA DEBI.. | Contact No | 9006921698 |
| Address | DEY STREET | Age | 60 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||