Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 08591 | Date 20/03/2023 |
| Token No | SM/22-23/8406 20/03/2023 | Serial | 021 |
| Patient Name | Mrs. SUDIPTA PAIN | Contact No | 8017501678 |
| Address | 20G.T. ROAD, MADAM BAGAN | Age | 30 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||