Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 07584 | Date 10/11/2022 |
| Token No | SM/22-23/6168 10/11/2022 | Serial | 012 |
| Patient Name | Mrs. SASHI PRADHAN | Contact No | NOT GIVEN |
| Address | SERAMPORE 9 NO. LINE | Age | 60 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||