Ticket for Outdoor Patient
| Ward No. 25 | U-PHC No. | Registration No. 08057 | Date 29/12/2022 |
| Token No | SM/22-23/7244 29/12/2022 | Serial | 005 |
| Patient Name | Mrs. PAPIYA BANERJEE. | Contact No | NOT GIVEN |
| Address | JANNAGAR ROAD | Age | 30 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||