Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 05173 | Date 20/12/2021 |
| Token No | SM/21-22/1677 20/12/2021 | Serial | 011 |
| Patient Name | Mrs. PARATI BISWAL | Contact No | 9830606837 |
| Address | 55 N L BHATTACHARJEE STREET | Age | 38 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||