Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 06475 | Date 25/07/2022 |
| Token No | SM/22-23/4042 25/07/2022 | Serial | 034 |
| Patient Name | Mrs. PRATIMA DUTTA GUPTA | Contact No | NOT GIVEN |
| Address | 117 KENAS LANE | Age | 53 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||