Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 03658 | Date 02/01/2020 |
| Token No | SM/21-22/2407 14/03/2022 | Serial | 009 |
| Patient Name | Mrs. KANKANA CHATTERJEE | Contact No | NOT GIVEN |
| Address | 18 A B GARDEN LANE | Age | 58 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||