Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 07221 | Date 13/10/2022 |
| Token No | SM/22-23/7548 30/01/2023 | Serial | 003 |
| Patient Name | Mrs. RIMIKA NANDY | Contact No | 9874257391 |
| Address | 38 PANDIT KALIONATH BHATTACHARJEE LANE | Age | 29 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||