Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 08396 | Date 20/02/2023 |
| Token No | SM/22-23/7975 20/02/2023 | Serial | 033 |
| Patient Name | Miss SHREYA ROY | Contact No | 6290923265 |
| Address | 45 PANCHANAN TALA LANE | Age | 24 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||