Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 09189 | Date 26/05/2023 |
| Token No | SM/22-23/9852 26/05/2023 | Serial | 030 |
| Patient Name | Mrs. TUMPA MANNA.. | Contact No | 6291382956 |
| Address | 10 CHOWDHURY PARA LANE | Age | 35 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||