Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 02007 | Date 30/04/2019 |
| Token No | SM/24-25/15814 18/04/2024 | Serial | 026 |
| Patient Name | Mrs. LAXMI DEVI | Contact No | NOT GIVEN |
| Address | 2 GOPAL CHANDRA GANGULY LANE | Age | 49 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||