Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 05916 | Date 24/05/2022 |
| Token No | SM/22-23/3081 24/05/2022 | Serial | 020 |
| Patient Name | Mrs. GAYATRI MUKHERJEE | Contact No | 8017656012 |
| Address | 514/B G.T.ROAD | Age | 60 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||