Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 08078 | Date 30/12/2022 |
| Token No | SM/22-23/7289 30/12/2022 | Serial | 019 |
| Patient Name | Mrs. PARAMITA BISWAS | Contact No | 8697497268 |
| Address | 30 DEY STREET | Age | 50 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||