Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 05722 | Date 20/04/2022 |
| Token No | SM/22-23/5055 12/09/2022 | Serial | 002 |
| Patient Name | Miss KIRTI KUMARI | Contact No | 8910862199 |
| Address | 43 K M BHATTACHARJEE STREET | Age | 30 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||