Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 06773 | Date 18/08/2022 |
| Token No | SM/22-23/4594 18/08/2022 | Serial | 004 |
| Patient Name | Miss SRIJANYA CHATTERJEE | Contact No | 9874071180 |
| Address | 2 PITAMBAR DEY LANE | Age | 17 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||