Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 08348 | Date 16/02/2023 |
| Token No | SM/22-23/7876 16/02/2023 | Serial | 011 |
| Patient Name | Mrs. MINATI GOSWAMI | Contact No | 9831930477 |
| Address | 93/A DEY STREET | Age | 69 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||