Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 08722 | Date 06/04/2023 |
| Token No | SM/22-23/8763 06/04/2023 | Serial | 016 |
| Patient Name | Mrs. MOUSUMI NATH | Contact No | 9836230050 |
| Address | 30 PATUA PARA LANE | Age | 27 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||