Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 06727 | Date 13/08/2022 |
| Token No | SM/22-23/10086 09/06/2023 | Serial | 026 |
| Patient Name | Mrs. BASANA DASGUPTA | Contact No | 9336585210 |
| Address | 3/5 RAILAND CIRCULAR ROAD | Age | 44 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||