Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08793 | Date 21/04/2023 |
| Token No | SM/22-23/9009 21/04/2023 | Serial | 029 |
| Patient Name | Mrs. RINA MUKHERJEE | Contact No | NOT GIVEN |
| Address | 6/B D N MUKHERJEE LANE | Age | 27 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||