Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 01837 | Date 08/06/2022 |
| Token No | SM/22-23/401 08/06/2022 | Serial | 015 |
| Patient Name | Mrs. SAHANA BIBI | Contact No | 9679618132 |
| Address | SHANTIPUR | Age | 23 Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||