Ticket for Outdoor Patient
| Ward No. 20 | U-PHC No. | Registration No. 05969 | Date 30/05/2022 |
| Token No | SM/22-23/9902 01/06/2023 | Serial | 010 |
| Patient Name | Mrs. SAIKAT SHARMA | Contact No | 9123988255 |
| Address | 29 SHIBTALA LANE, MAHESH | Age | 37 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||