Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 06346 | Date 13/07/2022 |
| Token No | SM/24-25/17060 22/06/2024 | Serial | 014 |
| Patient Name | Mrs. NIRUPAMA KOLEY | Contact No | NOT GIVEN |
| Address | PANCHANAN TALA LANE | Age | 56 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||