Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 09597 | Date 12/07/2023 |
| Token No | SM/24-25/18821 18/09/2024 | Serial | 006 |
| Patient Name | Mrs. PURNIMA ROY | Contact No | 6289517296 |
| Address | 86C/5 DEY STREET | Age | 26 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||