Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 05665 | Date 05/04/2022 |
| Token No | SM/24-25/16478 24/05/2024 | Serial | 014 |
| Patient Name | Mrs. NIBHA DAS. | Contact No | NOT GIVEN |
| Address | 23A/1 PANCHANAN TALA LANE | Age | 58 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||