Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 07758 | Date 22/11/2022 |
| Token No | SM/22-23/6516 22/11/2022 | Serial | 007 |
| Patient Name | Mrs. RITA DAS. | Contact No | 8100801878 |
| Address | 13 RUDRARAM PANDIT LANE | Age | 30 Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||