Ticket for Outdoor Patient
| Ward No. 20 | U-PHC No. | Registration No. 06596 | Date 03/08/2022 |
| Token No | SM/22-23/4266 03/08/2022 | Serial | 012 |
| Patient Name | Mrs. TAPAN MUKHERJEE | Contact No | 9674858988 |
| Address | 29 SHIBTALA LANE | Age | 38 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||