Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 10192 | Date 29/08/2023 |
| Token No | SM/22-23/12068 29/08/2023 | Serial | 001 |
| Patient Name | Mrs. SABITA SHYAMOL | Contact No | 7595858443 |
| Address | DEY BAGAN | Age | 37 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||