Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 07278 | Date 17/10/2022 |
| Token No | SM/22-23/5565 17/10/2022 | Serial | 019 |
| Patient Name | Miss SANCHARI SENGUPTA | Contact No | NOT GIVEN |
| Address | BOTTALA, SERAMPORE | Age | 19 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||