Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 05451 | Date 21/02/2022 |
| Token No | SM/21-22/2197 21/02/2022 | Serial | 001 |
| Patient Name | Miss MAMALI PRADHAN | Contact No | 9432819935 |
| Address | 2 GOPAL GANGULY LANE | Age | 17 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||