Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 08335 | Date 13/02/2023 |
| Token No | SM/22-23/7845 13/02/2023 | Serial | 011 |
| Patient Name | Mrs. GITA BAG | Contact No | NOT GIVEN |
| Address | 3 A B GARDEN LANE | Age | 61 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||