Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 05344 | Date 25/01/2022 |
| Token No | SM/21-22/1997 25/01/2022 | Serial | 006 |
| Patient Name | Mrs. MANJURI MUKHERJEE | Contact No | 6290531268 |
| Address | 6 AKHNA CHOWDHURY PARA | Age | 45 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||