Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 03467 | Date 22/11/2019 |
| Token No | SM/24-25/15835 19/04/2024 | Serial | 005 |
| Patient Name | Miss PUNAM DAS | Contact No | 8697840727 |
| Address | 16 KAILASH CHATTERJEE LANE | Age | 22 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||