Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 03505 | Date 29/11/2019 |
| Token No | SM/21-22/2037 31/01/2022 | Serial | 001 |
| Patient Name | Mrs. KRISHNA BENI PRADHAN | Contact No | 9432819935 |
| Address | 2 GOPAL GANGULY LANE | Age | 33 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||