Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 09771 | Date 25/07/2023 |
| Token No | SM/24-25/16453 23/05/2024 | Serial | 023 |
| Patient Name | Mrs. RUPA BAG | Contact No | 7044493377 |
| Address | 4 A B GARDEN LANE | Age | 40 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||