Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 07643 | Date 14/11/2022 |
| Token No | SM/22-23/6833 06/12/2022 | Serial | 010 |
| Patient Name | Mrs. SOVA SAHA | Contact No | NOT GIVEN |
| Address | 140B/1 THAKUR BATI STREET | Age | 65 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||