Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 09135 | Date 22/05/2023 |
| Token No | SM/22-23/9730 22/05/2023 | Serial | 008 |
| Patient Name | Mrs. URMILA RAM | Contact No | 9163732655 |
| Address | 2 GOPAL GANGULY LANE | Age | 52 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||