Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 06089 | Date 14/06/2022 |
| Token No | SM/22-23/3387 14/06/2022 | Serial | 007 |
| Patient Name | Mrs. JYOTIRMOYEE BISWAS | Contact No | NOT GIVEN |
| Address | 21 BRAJA DUTTA LANE | Age | 66 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||