Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 07748 | Date 21/11/2022 |
| Token No | SM/22-23/6495 21/11/2022 | Serial | 035 |
| Patient Name | Mrs. SONA DEBI... | Contact No | 9060484072 |
| Address | JOLKOL | Age | 28 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||