Ticket for Outdoor Patient
| Ward No. 21 | U-PHC No. | Registration No. 05976 | Date 30/05/2022 |
| Token No | SM/22-23/3178 30/05/2022 | Serial | 017 |
| Patient Name | Mrs. JYOSTNA DUTTA | Contact No | 9681209533 |
| Address | 46/B BAISHNAB PARA LANE | Age | 60 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||