Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 04309 | Date 21/04/2021 |
| Token No | SM/21-22/749 03/08/2021 | Serial | 009 |
| Patient Name | Mrs. SNIGDHA BISWAS | Contact No | 8697725803 |
| Address | 30 CHOWDHURY PARA LANE | Age | 63 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||