Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 05848 | Date 17/05/2022 |
| Token No | SM/22-23/4534 16/08/2022 | Serial | 009 |
| Patient Name | Mrs. KALYANI PODDAR | Contact No | 9433897433 |
| Address | 2 BOSE PARA LANE | Age | 52 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||