Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 05355 | Date 28/01/2022 |
| Token No | SM/21-22/2020 28/01/2022 | Serial | 004 |
| Patient Name | Mrs. RINA BHATTACHARJEE | Contact No | 6289210325 |
| Address | 50/57 S P MUKHERJEE SARANI | Age | 50 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||