Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 06683 | Date 10/08/2022 |
| Token No | SM/22-23/4420 10/08/2022 | Serial | 005 |
| Patient Name | Mrs. DOLLY MUKHERJEE | Contact No | 7980228624 |
| Address | 119 R B SARANI | Age | 75 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||