Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 10721 | Date 02/11/2023 |
| Token No | SM/22-23/13149 02/11/2023 | Serial | 011 |
| Patient Name | Mrs. LILAWATI DAS | Contact No | 6290135831 |
| Address | 7 DEY GHAT LANE | Age | 45 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||