Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 04338 | Date 27/04/2021 |
| Token No | SM/22-23/8367 17/03/2023 | Serial | 013 |
| Patient Name | Mrs. SUJATA KUNDU | Contact No | 9681778484 |
| Address | 29/B AKHRA BATI | Age | 49 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||