Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 05980 | Date 31/05/2022 |
| Token No | SM/22-23/3182 31/05/2022 | Serial | 002 |
| Patient Name | Mrs. MOUMITA DAS | Contact No | 8240604667 |
| Address | 20 R. B SARANI SEARMPORE | Age | 43 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||