Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 08600 | Date 21/03/2023 |
| Token No | SM/22-23/8428 21/03/2023 | Serial | 008 |
| Patient Name | Mrs. RAJASHREE BISWAL | Contact No | 7003521703 |
| Address | MANNA BARI, CHOWDHURY PARA | Age | 29 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||