Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 06511 | Date 27/07/2022 |
| Token No | SM/22-23/4108 27/07/2022 | Serial | 010 |
| Patient Name | Miss TUMPA CHATTERJEE | Contact No | 9487589014 |
| Address | 11 POTUA PARA LANE | Age | 6 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||