Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 01900 | Date 09/04/2019 |
| Token No | SM/22-23/15222 13/03/2024 | Serial | 005 |
| Patient Name | Mrs. RUPA BAG | Contact No | NOT GIVEN |
| Address | DEY ST | Age | 31 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||