Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 05310 | Date 17/01/2022 |
| Token No | SM/21-22/1909 17/01/2022 | Serial | 007 |
| Patient Name | Miss GITIKA MONDAL | Contact No | 9088818185 |
| Address | 48C/J S P MUKHERJEE SARANI | Age | 12 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||