Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 09277 | Date 09/06/2023 |
| Token No | SM/22-23/10064 09/06/2023 | Serial | 004 |
| Patient Name | Mrs. KUMKUM DEBI | Contact No | NOT GIVEN |
| Address | 4 DEY GHAT LANE | Age | 60 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||