Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 04616 | Date 15/07/2021 |
| Token No | SM/21-22/1671 20/12/2021 | Serial | 005 |
| Patient Name | Mrs. PRANATI SETH | Contact No | 9477748173 |
| Address | 10 CHATTERJEE LANE | Age | 62 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||