Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 07921 | Date 09/12/2022 |
| Token No | SM/22-23/6909 09/12/2022 | Serial | 012 |
| Patient Name | Miss AMRITA DAS | Contact No | 9163867128 |
| Address | 7 ANATH BANDHU MUKHERJEE LANE | Age | 6 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||