Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 05485 | Date 03/03/2022 |
| Token No | SM/21-22/2300 03/03/2022 | Serial | 006 |
| Patient Name | Mrs. SUMITA CHATTAOPADHYAY | Contact No | 6290978883 |
| Address | 5E CHOWDHURY PARA LANE | Age | 52 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||