Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 06954 | Date 06/09/2022 |
| Token No | SM/22-23/4952 06/09/2022 | Serial | 067 |
| Patient Name | Miss MOUSUMI DAS.. | Contact No | 9433689741 |
| Address | 21/2 JANNAGAR ROAD | Age | 21 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||