Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 09556 | Date 06/07/2023 |
| Token No | SM/22-23/10682 06/07/2023 | Serial | 004 |
| Patient Name | Miss SOMA CHATTERJEE | Contact No | 7980798771 |
| Address | 10 PANCHANAN TALA LANE | Age | 23 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||