Ticket for Outdoor Patient
| Ward No. 25 | U-PHC No. | Registration No. 07547 | Date 07/11/2022 |
| Token No | SM/22-23/7847 13/02/2023 | Serial | 013 |
| Patient Name | Mrs. MILAN RANI BISWAS | Contact No | 9874758335 |
| Address | MAHESH COLONY | Age | 60 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||