Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 09221 | Date 02/06/2023 |
| Token No | SM/22-23/9930 02/06/2023 | Serial | 011 |
| Patient Name | Mrs. AMRITA GHOSH | Contact No | 7364985800 |
| Address | 1 MAIDA PATTY LANE | Age | 34 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||