Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 05797 | Date 06/05/2022 |
| Token No | SM/22-23/2892 06/05/2022 | Serial | 001 |
| Patient Name | Mrs. SHAKTI BHATTACHARJEE | Contact No | 8420071960 |
| Address | 87 DEY STREET | Age | 65 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||