Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 06189 | Date 22/06/2022 |
| Token No | SM/22-23/3549 22/06/2022 | Serial | 012 |
| Patient Name | Miss DEBANKI MUKHERJEE | Contact No | NOT GIVEN |
| Address | 21B KAILASH CHATTERJEE LANE | Age | 8 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||