Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 08661 | Date 27/03/2023 |
| Token No | SM/22-23/8583 27/03/2023 | Serial | 030 |
| Patient Name | Mrs. NANDITA ROY | Contact No | NOT GIVEN |
| Address | 124 N.N. COLONY | Age | 56 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||