Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 06431 | Date 22/07/2022 |
| Token No | SM/22-23/3964 22/07/2022 | Serial | 003 |
| Patient Name | Mrs. SUKLA RAKSHIT | Contact No | 9830105780 |
| Address | 3 A K C BHATTACHARJEE STREET | Age | 55 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||