Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 05859 | Date 17/05/2022 |
| Token No | SM/22-23/2993 17/05/2022 | Serial | 019 |
| Patient Name | Mrs. SUGANTI DEBI | Contact No | 7439891818 |
| Address | 4 D N MUKHERJEE LANE | Age | 22 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||