Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 04419 | Date 01/06/2021 |
| Token No | SM/21-22/313 01/06/2021 | Serial | 002 |
| Patient Name | Mrs. ANIMA MUKHERJEE | Contact No | 9088599038 |
| Address | 101A N N COLONY | Age | 50 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||