Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 08462 | Date 28/02/2023 |
| Token No | SM/22-23/8082 28/02/2023 | Serial | 001 |
| Patient Name | Mrs. PADMABATI DAS | Contact No | 7044743828 |
| Address | 11 WILLAM CAREY ROAD | Age | 54 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||