Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 07826 | Date 28/11/2022 |
| Token No | SM/22-23/6670 28/11/2022 | Serial | 019 |
| Patient Name | Miss SOMA CHATTERJEE | Contact No | 9674491183 |
| Address | 10 PANCHANANTALA LANE | Age | 23 Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||