Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 08298 | Date 09/02/2023 |
| Token No | SM/22-23/12689 26/09/2023 | Serial | 005 |
| Patient Name | Mrs. GUNJA DEBI | Contact No | 9674489894 |
| Address | 5B GOPAL GANGULY LANE | Age | 23 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||