Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 03259 | Date 22/10/2019 |
| Token No | SM/22-23/13951 20/12/2023 | Serial | 028 |
| Patient Name | Mrs. RINA MUKHERJEE | Contact No | 9836730023 |
| Address | 87 DEY STREET | Age | 55 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 130/80 mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||