Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 04398 | Date 19/05/2021 |
| Token No | SM/21-22/280 19/05/2021 | Serial | 002 |
| Patient Name | Mrs. GITA DUTTA | Contact No | NOT GIVEN |
| Address | 195 RAJYADHARPUR GOVT COLONY | Age | 36 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||