Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 07218 | Date 13/10/2022 |
| Token No | SM/24-25/17625 20/07/2024 | Serial | 005 |
| Patient Name | Mrs. DEEPTY SANYAL | Contact No | 8017284460 |
| Address | 24 PANCHANAN TALA LANE | Age | 33 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||