Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 06655 | Date 08/08/2022 |
| Token No | SM/22-23/4383 08/08/2022 | Serial | 009 |
| Patient Name | Miss SANGSTHITA PAL | Contact No | NOT GIVEN |
| Address | 16/G S C GHOSH LANE | Age | 20 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||