Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 00085 | Date 06/08/2018 |
| Token No | SM/22-23/13516 04/12/2023 | Serial | 014 |
| Patient Name | Mrs. MRIDULA KUNDU | Contact No | 8240187930 |
| Address | 584/A G.T ROAD MANIKTALA | Age | 55 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||