Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 07313 | Date 18/10/2022 |
| Token No | SM/22-23/5778 25/10/2022 | Serial | 006 |
| Patient Name | Mrs. MAYTRAYEE CHATTERJEE | Contact No | 9681776826 |
| Address | 56A KHASBAGAN LANE | Age | 62 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||