Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 07793 | Date 24/11/2022 |
| Token No | SM/22-23/6598 24/11/2022 | Serial | 012 |
| Patient Name | Mrs. DOLI MUKHERJEE | Contact No | 8017481645 |
| Address | 306 RAJA K.L. GOSWAMI STREET | Age | 69 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||