Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 05608 | Date 31/03/2022 |
| Token No | SM/21-22/2557 31/03/2022 | Serial | 012 |
| Patient Name | Mrs. MITU DAS DEB | Contact No | 7980829013 |
| Address | 44B GANGULY BAGAN LANE | Age | 26 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||