Ticket for Outdoor Patient
| Ward No. 25 | U-PHC No. | Registration No. 08343 | Date 16/02/2023 |
| Token No | SM/22-23/9690 19/05/2023 | Serial | 012 |
| Patient Name | Mrs. RUMA SANTRA | Contact No | NOT GIVEN |
| Address | JANNAGAR ROAD | Age | 50 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||