Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 09112 | Date 18/05/2023 |
| Token No | SM/22-23/9669 18/05/2023 | Serial | 029 |
| Patient Name | Mrs. USHA MUKHERJEE | Contact No | 8296022209 |
| Address | panchanantala | Age | 53 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||