Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00487 | Date 20/08/2018 |
| Token No | SM/22-23/3525 21/06/2022 | Serial | 018 |
| Patient Name | Mrs. MOUSUMI CHATTERJEE | Contact No | NOT GIVEN |
| Address | NALIKUL | Age | 35 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||