Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 07537 | Date 07/11/2022 |
| Token No | SM/22-23/6063 07/11/2022 | Serial | 013 |
| Patient Name | Mrs. MAYA BISWAS | Contact No | 8648060844 |
| Address | 6 RUDRA RAM PANDIT LANE | Age | 67 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||