Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 08933 | Date 02/05/2023 |
| Token No | SM/24-25/16473 24/05/2024 | Serial | 009 |
| Patient Name | Mrs. SIMA DAS | Contact No | 9163899748 |
| Address | 10 DEY ST | Age | 56 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||