Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 06527 | Date 27/07/2022 |
| Token No | SM/22-23/4130 27/07/2022 | Serial | 032 |
| Patient Name | Mrs. SALINI MUKHERJEE | Contact No | 7008941201 |
| Address | BHAGIRATHI LANE | Age | 45 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||