Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 06576 | Date 01/08/2022 |
| Token No | SM/22-23/4231 01/08/2022 | Serial | 019 |
| Patient Name | Miss ABHISIKHA SARKAR | Contact No | NOT GIVEN |
| Address | 17 KAILASH CHATTERJEE LANE | Age | 5 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||