Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 05679 | Date 06/04/2022 |
| Token No | SM/22-23/2669 06/04/2022 | Serial | 007 |
| Patient Name | Mrs. ANITA DEBI... | Contact No | 8013548536 |
| Address | 4 DEY GHAT LANE | Age | 33 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||