Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 05837 | Date 13/05/2022 |
| Token No | SM/22-23/5271 22/09/2022 | Serial | 018 |
| Patient Name | Mrs. SUNITI MUKHERJEE | Contact No | 7980259071 |
| Address | 14A/18E SATISH CHANDRA GHOSH LANE | Age | 55 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||