Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 04332 | Date 26/04/2021 |
| Token No | SM/22-23/15224 13/03/2024 | Serial | 007 |
| Patient Name | Mrs. MAYNA GHOSH | Contact No | 8697354187 |
| Address | 52 LALIT MOHAN BHATTACHARYA ST | Age | 30 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||