Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 04929 | Date 27/09/2021 |
| Token No | SM/22-23/5446 12/10/2022 | Serial | 015 |
| Patient Name | Miss SRIPARNA DEBNATH | Contact No | 8444973645 |
| Address | 153 THAKUR BATI STREET | Age | 23 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||