Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 08315 | Date 09/02/2023 |
| Token No | SM/22-23/9171 26/04/2023 | Serial | 001 |
| Patient Name | Mrs. AMRITA DEBI | Contact No | 6291415407 |
| Address | 55 RAYLAND ROAD | Age | 22 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||