Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 02777 | Date 09/08/2019 |
| Token No | SM/24-25/18838 18/09/2024 | Serial | 023 |
| Patient Name | Mrs. KRISHNA DEBI PRADHAN | Contact No | 9432819935 |
| Address | 2 GOPAL GANGULY LANE | Age | 32 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||