Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 04223 | Date 31/03/2021 |
| Token No | SM/22-23/2646 05/04/2022 | Serial | 011 |
| Patient Name | Miss DEBJANI SAMANTA | Contact No | 9836978814 |
| Address | 12 D CHATTERJEE LANE | Age | 30 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||