Ticket for Outdoor Patient
| Ward No. 20 | U-PHC No. | Registration No. 06140 | Date 18/06/2022 |
| Token No | SM/22-23/3477 18/06/2022 | Serial | 002 |
| Patient Name | Mrs. RIYA CHAKRABORTY | Contact No | 9123751696 |
| Address | 31/B/1 SHIBTALA LANE | Age | 31 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||