Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 00635 | Date 07/09/2018 |
| Token No | SM/22-23/4511 12/08/2022 | Serial | 020 |
| Patient Name | Mrs. GARGI MUKHERJEE | Contact No | 9830908150 |
| Address | 19 KAILASH CHATTERJEE LANE | Age | 52 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||