Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 06614 | Date 04/08/2022 |
| Token No | SM/22-23/4299 04/08/2022 | Serial | 013 |
| Patient Name | Mrs. MALA MAJUMDER | Contact No | 9477034120 |
| Address | 93Y TARAPUKUR GOVT QUATER | Age | 51 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||