Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 05783 | Date 05/05/2022 |
| Token No | SM/22-23/4486 11/08/2022 | Serial | 022 |
| Patient Name | Mrs. ARATI PAL.. | Contact No | 9836626452 |
| Address | 10/A NILMONI GHOSH LANE | Age | 63 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||