Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 06805 | Date 23/08/2022 |
| Token No | SM/22-23/6881 08/12/2022 | Serial | 010 |
| Patient Name | Mrs. KAKALI SEN | Contact No | 9836515595 |
| Address | 149 THAKURBATI STREET | Age | 51 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||