Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08705 | Date 05/04/2023 |
| Token No | SM/22-23/8724 05/04/2023 | Serial | 011 |
| Patient Name | Mrs. PUJA ROY | Contact No | 8961008801 |
| Address | 98/42 SATCHASI PARA | Age | 22 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||