Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 06299 | Date 06/07/2022 |
| Token No | SM/22-23/8440 21/03/2023 | Serial | 020 |
| Patient Name | Mrs. SOMA DEBI | Contact No | NOT GIVEN |
| Address | 16 KAILSH CHATTERJEE LANE | Age | 45 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||