Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 05541 | Date 15/03/2022 |
| Token No | SM/22-23/3772 06/07/2022 | Serial | 016 |
| Patient Name | Mrs. REKHA SADHUKHAN | Contact No | 9088822836 |
| Address | 21B KAILASH CHATTERJEE LANE | Age | 72 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||