Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 04909 | Date 15/09/2021 |
| Token No | SM/21-22/1129 15/09/2021 | Serial | 002 |
| Patient Name | Mrs. SWAPNA RAM | Contact No | 8967287282 |
| Address | 2 GOPAL GANGULY LANE | Age | 27 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||