Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 01965 | Date 23/04/2019 |
| Token No | SM/21-22/159 22/04/2021 | Serial | 010 |
| Patient Name | Mrs. MADHABI DUTTA | Contact No | 9163193107 |
| Address | 646 G T ROAD | Age | 49 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||