Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 04815 | Date 27/08/2021 |
| Token No | SM/21-22/966 27/08/2021 | Serial | 002 |
| Patient Name | Mrs. BHARATI CHATTERJEE | Contact No | 6290470250 |
| Address | 14 CHANDRA MOHAN ROY LANE | Age | 43 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||