Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 10277 | Date 04/09/2023 |
| Token No | SM/22-23/12218 04/09/2023 | Serial | 002 |
| Patient Name | Master LATA JAISWARA | Contact No | 8981869058 |
| Address | 2 GOPAL GANGULY LANE | Age | 43 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||