Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 05911 | Date 24/05/2022 |
| Token No | SM/22-23/3075 24/05/2022 | Serial | 014 |
| Patient Name | Mrs. SUPARNA CHATTERJEE | Contact No | 9477117301 |
| Address | 26/B LIBRARY LANE | Age | 53 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||