Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 06223 | Date 27/06/2022 |
| Token No | SM/22-23/3622 27/06/2022 | Serial | 018 |
| Patient Name | Mrs. SANDHYA CHATTERJEE | Contact No | 9830961799 |
| Address | 16 E PANCHANAN TALA LANE | Age | 71 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||