Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06055 | Date 10/06/2022 |
| Token No | SM/22-23/3329 10/06/2022 | Serial | 007 |
| Patient Name | Mrs. SANDHYA PODDAR | Contact No | 9632585988 |
| Address | NAIHATI | Age | 75 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||