Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 04445 | Date 04/06/2021 |
| Token No | SM/22-23/14182 08/01/2024 | Serial | 046 |
| Patient Name | Mrs. SIPRA BASU | Contact No | 7044521830 |
| Address | 14 PANCHANAN TALA | Age | 67 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||