Ticket for Outdoor Patient
| Ward No. 21 | U-PHC No. | Registration No. 06911 | Date 05/09/2022 |
| Token No | SM/22-23/4864 05/09/2022 | Serial | 017 |
| Patient Name | Mrs. TAPASHREE GHOSH | Contact No | 7003774463 |
| Address | 34/B BAISHNAB PARA 2ND LANE | Age | 38 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||