Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 03336 | Date 07/11/2019 |
| Token No | SM/22-23/2708 18/04/2022 | Serial | 017 |
| Patient Name | Mrs. RUMA DUTTA | Contact No | 9051211884 |
| Address | 80A/3 DEY STREET | Age | 42 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||