Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 08307 | Date 09/02/2023 |
| Token No | SM/22-23/9456 10/05/2023 | Serial | 016 |
| Patient Name | Mrs. MINATI BATABYAL | Contact No | 7980387187 |
| Address | 149 N N COLONY | Age | 38 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||