Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 08505 | Date 03/03/2023 |
| Token No | SM/22-23/8179 03/03/2023 | Serial | 012 |
| Patient Name | Mrs. BANDANA PAL | Contact No | 9051063035 |
| Address | 84 B CHATRA BARUIPARA LANE | Age | 65 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||