Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 07960 | Date 16/12/2022 |
| Token No | SM/22-23/7024 16/12/2022 | Serial | 004 |
| Patient Name | Mrs. PRAVA BISWAL | Contact No | 6289525210 |
| Address | 45 N L BHATTACHARJEE STREET | Age | 40 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||