Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 06743 | Date 16/08/2022 |
| Token No | SM/22-23/4547 16/08/2022 | Serial | 022 |
| Patient Name | Miss RITUPARNA DAS | Contact No | NOT GIVEN |
| Address | 30/34 TARAPUKUR LANE | Age | 26 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||