Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 10862 | Date 04/12/2023 |
| Token No | SM/22-23/13995 27/12/2023 | Serial | 014 |
| Patient Name | Mrs. VANLALDIKI CHAWNGTHU | Contact No | 7005001948 |
| Address | SERAMPORE COLLEGE | Age | 36 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||