Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 08883 | Date 26/04/2023 |
| Token No | SM/22-23/15377 21/03/2024 | Serial | 018 |
| Patient Name | Mrs. SUSHMA RANI DAS | Contact No | 9163196394 |
| Address | 7 DEY GHAT LANE | Age | 32 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||