Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 06419 | Date 20/07/2022 |
| Token No | SM/22-23/3945 20/07/2022 | Serial | 029 |
| Patient Name | Mrs. JOYATREE CHOUDHURI | Contact No | 8100054696 |
| Address | ROY LAND ROAD | Age | 30 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||