Ticket for Outdoor Patient
| Ward No. 20 | U-PHC No. | Registration No. 06552 | Date 29/07/2022 |
| Token No | SM/22-23/4184 29/07/2022 | Serial | 013 |
| Patient Name | Miss SNIGDHA BOSE | Contact No | 9433687410 |
| Address | JAGANNATH GHAT LANE | Age | 7 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||