Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 07777 | Date 23/11/2022 |
| Token No | SM/22-23/6560 23/11/2022 | Serial | 008 |
| Patient Name | Mrs. BANASHREE BISWAS | Contact No | 8420488806 |
| Address | 169/B THAKURBATI STREET | Age | 41 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||