Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 07736 | Date 21/11/2022 |
| Token No | SM/22-23/6901 09/12/2022 | Serial | 004 |
| Patient Name | Miss DIBANGI MUKHERJEE | Contact No | 7003034560 |
| Address | 21 K C CHATTERJEE LANE | Age | 12 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||