Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 02094 | Date 17/05/2019 |
| Token No | SM/24-25/17620 19/07/2024 | Serial | 007 |
| Patient Name | Mrs. SHAMPA SAHA | Contact No | |
| Address | Age | 36 YRS Female | |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||