Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 10494 | Date 25/09/2023 |
| Token No | SM/22-23/15209 11/03/2024 | Serial | 060 |
| Patient Name | Miss SUDIPTA ROY | Contact No | 7980833538 |
| Address | 134/3 THAKUR BATI STREET | Age | 23 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||