Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 07571 | Date 09/11/2022 |
| Token No | SM/22-23/9968 05/06/2023 | Serial | 015 |
| Patient Name | Miss SONA DEBI | Contact No | NOT GIVEN |
| Address | 55 RAY LAND ROAD | Age | 35 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||