Ticket for Outdoor Patient
| Ward No. 23 | U-PHC No. | Registration No. 05960 | Date 27/05/2022 |
| Token No | SM/22-23/9692 19/05/2023 | Serial | 014 |
| Patient Name | Mrs. SABITA PODDAR | Contact No | 9685258900 |
| Address | GANGULY BAGAN | Age | 66 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||