Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 10107 | Date 23/08/2023 |
| Token No | SM/22-23/11898 23/08/2023 | Serial | 020 |
| Patient Name | Mrs. RINKU BANERJEE | Contact No | 9748197312 |
| Address | 39B R B SARANI | Age | 53 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||