Ticket for Outdoor Patient
| Ward No. 20 | U-PHC No. | Registration No. 06164 | Date 20/06/2022 |
| Token No | SM/22-23/3506 20/06/2022 | Serial | 023 |
| Patient Name | Mrs. BANANI CHATTERJEE | Contact No | 9433026412 |
| Address | 11A JAGANNATH GHAT LANE | Age | 62 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||