Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 08695 | Date 04/04/2023 |
| Token No | SM/22-23/8701 04/04/2023 | Serial | 012 |
| Patient Name | Mrs. BANDANA JAISWAL | Contact No | 8299591560 |
| Address | 7 CHATTERJEE LANE | Age | 50 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||