Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06002 | Date 03/06/2022 |
| Token No | SM/22-23/6776 02/12/2022 | Serial | 005 |
| Patient Name | Miss SNEHA CHATTERJEE | Contact No | 9163317381 |
| Address | NALIKUL | Age | 27 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||