Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 02048 | Date 10/05/2019 |
| Token No | SM/22-23/9268 28/04/2023 | Serial | 030 |
| Patient Name | Miss PRITHI MUKHERJEE | Contact No | 9830705150 |
| Address | 12/A CHATTERJEE LANE | Age | 23 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||