Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 06845 | Date 30/08/2022 |
| Token No | SM/22-23/4766 30/08/2022 | Serial | 011 |
| Patient Name | Miss MOUSUMI DUTTA | Contact No | 9874348183 |
| Address | 169/B THAKURBATI ST | Age | 24 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||