Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 07802 | Date 25/11/2022 |
| Token No | SM/22-23/6628 25/11/2022 | Serial | 007 |
| Patient Name | Mrs. CHAITALI DAS | Contact No | 7044844030 |
| Address | 7 ANANTH BANDHU MUKHERJEE LANE | Age | 43 Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||