Ticket for Outdoor Patient
| Ward No. 22 | U-PHC No. | Registration No. 06971 | Date 07/09/2022 |
| Token No | SM/22-23/4977 07/09/2022 | Serial | 025 |
| Patient Name | Mrs. SANCHITA GUIN | Contact No | NOT GIVEN |
| Address | D/5 GANGULY BAGAN LANE | Age | 46 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||