Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 06445 | Date 22/07/2022 |
| Token No | SM/22-23/3979 22/07/2022 | Serial | 018 |
| Patient Name | Mrs. PURNIMA BISWAL | Contact No | 6290716722 |
| Address | 9 SERAMPORE COLLEGE | Age | 26 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||