Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 08486 | Date 01/03/2023 |
| Token No | SM/22-23/8129 01/03/2023 | Serial | 025 |
| Patient Name | Mrs. CHAMPA MANNA | Contact No | NOT GIVEN |
| Address | CHOWDHURY PARA | Age | 70 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||