Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 06613 | Date 04/08/2022 |
| Token No | SM/22-23/10026 07/06/2023 | Serial | 004 |
| Patient Name | Mrs. SMRITILEKHA ADHIKARI | Contact No | 9432427960 |
| Address | 3 LOLIT MOHAN BHATTACHARYA ST | Age | 64 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||