Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 08734 | Date 10/04/2023 |
| Token No | SM/22-23/8791 10/04/2023 | Serial | 015 |
| Patient Name | Mrs. GOPA ROY | Contact No | 8910736324 |
| Address | 4 NEHERU NAGAR COLONY | Age | 34 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||