Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 10037 | Date 21/08/2023 |
| Token No | SM/22-23/11776 21/08/2023 | Serial | 011 |
| Patient Name | Mrs. PARBATI BHAR | Contact No | 8902688778 |
| Address | 12D CHATTERJEE LANE | Age | 54 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||