Ticket for Outdoor Patient
| Ward No. 20 | U-PHC No. | Registration No. 00088 | Date 06/08/2018 |
| Token No | SM/22-23/8887 12/04/2023 | Serial | 001 |
| Patient Name | Mrs. BABY MUKHERJEE | Contact No | 9433663460 |
| Address | 11 B L C MILLS ROAD | Age | 64 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||