Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 05386 | Date 03/02/2022 |
| Token No | SM/21-22/2088 03/02/2022 | Serial | 003 |
| Patient Name | Mrs. MINU SEN.. | Contact No | 6289943051 |
| Address | 10 RUDRA RAM PANDIT LANE | Age | 48 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||