Ticket for Outdoor Patient
| Ward No. 20 | U-PHC No. | Registration No. 04844 | Date 01/09/2021 |
| Token No | SM/21-22/1018 01/09/2021 | Serial | 004 |
| Patient Name | Mrs. TRIPTI MUKHERJEE | Contact No | 9062129920 |
| Address | 31K SHIBTALA LANE | Age | 54 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||