Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 06603 | Date 03/08/2022 |
| Token No | SM/22-23/4277 03/08/2022 | Serial | 023 |
| Patient Name | Mrs. ARPITA BHOWMICK GOSWAMI | Contact No | 7003504440 |
| Address | 481/C/5 G T ROAD, MAHESH | Age | 29 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||