Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 03344 | Date 07/11/2019 |
| Token No | SM/21-22/2041 31/01/2022 | Serial | 005 |
| Patient Name | Mr. DIPALI BOSE | Contact No | 9830293624 |
| Address | 8 A B GARDEN LANE | Age | 41 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||