Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 05606 | Date 31/03/2022 |
| Token No | SM/21-22/2555 31/03/2022 | Serial | 010 |
| Patient Name | Mrs. LAKKHI DEBI | Contact No | NOT GIVEN |
| Address | 2 gopal ganguly lane | Age | 48 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||