Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 07101 | Date 21/09/2022 |
| Token No | SM/22-23/5234 21/09/2022 | Serial | 006 |
| Patient Name | Mrs. MINU BHATTACHARJEE | Contact No | NOT GIVEN |
| Address | 169 N N COLONY | Age | 40 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||