Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 06332 | Date 12/07/2022 |
| Token No | SM/22-23/3826 12/07/2022 | Serial | 002 |
| Patient Name | Mrs. NILIMA GHOSH | Contact No | NOT GIVEN |
| Address | 39 L B S ROAD | Age | 46 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||