Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 09188 | Date 26/05/2023 |
| Token No | SM/22-23/9846 26/05/2023 | Serial | 024 |
| Patient Name | Mrs. RATNA BHATTACHARYA | Contact No | 9432853460 |
| Address | 3 DEY GHAT LANE | Age | 54 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||