Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 09193 | Date 29/05/2023 |
| Token No | SM/22-23/9871 29/05/2023 | Serial | 018 |
| Patient Name | Mrs. SUTAPA SRIMANI | Contact No | 9038847589 |
| Address | 2B A K C BHATTACHARYA STREET | Age | 53 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||