Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 06979 | Date 08/09/2022 |
| Token No | SM/22-23/4987 08/09/2022 | Serial | 006 |
| Patient Name | Mrs. MOUSUMI DEY | Contact No | 9051970722 |
| Address | 45/1 J.N. LAHIRI ROAD | Age | 43 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||