Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 05678 | Date 06/04/2022 |
| Token No | SM/22-23/2663 06/04/2022 | Serial | 001 |
| Patient Name | Mrs. ANITA MUKHERJEE.. | Contact No | 9874925492 |
| Address | 87 DEY STREET | Age | 67 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||