Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 06885 | Date 02/09/2022 |
| Token No | SM/22-23/4832 02/09/2022 | Serial | 028 |
| Patient Name | Mrs. TRIPTI GHOSAL | Contact No | 9433809395 |
| Address | DOSTI LANE | Age | 58 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||