Ticket for Outdoor Patient
| Ward No. 20 | U-PHC No. | Registration No. 04817 | Date 27/08/2021 |
| Token No | SM/22-23/8597 28/03/2023 | Serial | 004 |
| Patient Name | Mrs. DOLY SAHA | Contact No | 6291317155 |
| Address | 3/200 MAHESH COLONY | Age | 51 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||