Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 06681 | Date 10/08/2022 |
| Token No | SM/22-23/4418 10/08/2022 | Serial | 003 |
| Patient Name | Mrs. BANI MAJUMDER | Contact No | 7003262788 |
| Address | 53 J N LAHIRI ROAD | Age | 74 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||