Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 06500 | Date 26/07/2022 |
| Token No | SM/22-23/4085 26/07/2022 | Serial | 035 |
| Patient Name | Miss CHHANDA PRAMANIK | Contact No | 7008978789 |
| Address | J N LAHIRI ROAD | Age | 7 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||