Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 08563 | Date 16/03/2023 |
| Token No | SM/22-23/8330 16/03/2023 | Serial | 002 |
| Patient Name | Mrs. NAMITA CHATTERJEE | Contact No | 7074800297 |
| Address | 39 DEY STREET | Age | 69 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||