Ticket for Outdoor Patient
| Ward No. 22 | U-PHC No. | Registration No. 06893 | Date 02/09/2022 |
| Token No | SM/22-23/4840 02/09/2022 | Serial | 036 |
| Patient Name | Miss RIYA ROY | Contact No | 8007584780 |
| Address | 42/A GANGULY BAGAN | Age | 25 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||