Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 06690 | Date 10/08/2022 |
| Token No | SM/22-23/4428 10/08/2022 | Serial | 013 |
| Patient Name | Mrs. SMRITI NATH | Contact No | 8910839097 |
| Address | 17/A/6 CHOWDHURY PARA | Age | 47 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||