Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 07980 | Date 17/12/2022 |
| Token No | SM/22-23/7059 17/12/2022 | Serial | 005 |
| Patient Name | Mrs. LIPIKA ROY | Contact No | 9339224688 |
| Address | 20 A K C BHATTACHARJEE STREET | Age | 37 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||