Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 05416 | Date 11/02/2022 |
| Token No | SM/21-22/2135 11/02/2022 | Serial | 005 |
| Patient Name | Mrs. TAPASI RAKSHIT | Contact No | 9748376391 |
| Address | PANDIT KALINATH BHATTACHARYA LANE | Age | 47 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||