Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 07493 | Date 03/11/2022 |
| Token No | SM/22-23/5981 03/11/2022 | Serial | 009 |
| Patient Name | Mrs. RENUKA GHOSH | Contact No | 8282922414 |
| Address | 39/A NABAKRISHNA GUIN LANE | Age | 82 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||