Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 06711 | Date 12/08/2022 |
| Token No | SM/22-23/4494 12/08/2022 | Serial | 003 |
| Patient Name | Mrs. MIRA DEBI | Contact No | 9330692088 |
| Address | DEY BARI, SERAMPORE | Age | 56 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||