Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 09811 | Date 31/07/2023 |
| Token No | SM/22-23/11264 31/07/2023 | Serial | 010 |
| Patient Name | Mrs. PRATIMA CHAKRABORTY | Contact No | 9051110790 |
| Address | 154 THAKUR BATI STREET | Age | 62 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||