Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 06331 | Date 12/07/2022 |
| Token No | SM/22-23/3825 12/07/2022 | Serial | 001 |
| Patient Name | Mrs. BASANTI CHATTERJEE... | Contact No | 8910907556 |
| Address | 40 L.M. BHATTACHARYA ST | Age | 61 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||