Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 08525 | Date 13/03/2023 |
| Token No | SM/22-23/8237 13/03/2023 | Serial | 020 |
| Patient Name | Mrs. JHARNA DAS.. | Contact No | NOT GIVEN |
| Address | PATUA PARA | Age | 35 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||