Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 03732 | Date 13/01/2020 |
| Token No | SM/22-23/11617 14/08/2023 | Serial | 027 |
| Patient Name | Mrs. ANJANA PAL | Contact No | 9748664898 |
| Address | 45 N L BHATTACHARJEE STREET | Age | 33 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||