Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 12203 | Date 05/10/2024 |
| Token No | SM/24-25/19208 05/10/2024 | Serial | 007 |
| Patient Name | Mrs. MOUMITA DEY | Contact No | NOT GIVEN |
| Address | 136 N N COLONY | Age | 24 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||