Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 00484 | Date 20/08/2018 |
| Token No | SM/22-23/3636 28/06/2022 | Serial | 013 |
| Patient Name | Mrs. KRISHNA SETH | Contact No | 9433641551 |
| Address | 10 CHATTERJEE LANE | Age | 68 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||