Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 04664 | Date 27/07/2021 |
| Token No | SM/21-22/730 27/07/2021 | Serial | 008 |
| Patient Name | Miss PRIYA BISWAS.. | Contact No | 7980420615 |
| Address | THAKUR BATI STREET | Age | 23 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||