Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 06229 | Date 28/06/2022 |
| Token No | SM/22-23/3628 28/06/2022 | Serial | 005 |
| Patient Name | Mrs. SHANTI BASAK | Contact No | NOT GIVEN |
| Address | 28/35 S B GHOSH LANE | Age | 60 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||