Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 04933 | Date 27/09/2021 |
| Token No | SM/21-22/1172 27/09/2021 | Serial | 009 |
| Patient Name | Mrs. ARUNA DEBI | Contact No | NOT GIVEN |
| Address | JHAUTALA, SERAMPORE | Age | 60 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||