Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 07877 | Date 02/12/2022 |
| Token No | SM/22-23/6790 02/12/2022 | Serial | 019 |
| Patient Name | Mrs. KALPANA BHOWMICK | Contact No | 9830346313 |
| Address | 62 DHULIPARA LANE | Age | 34 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||