Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 05453 | Date 21/02/2022 |
| Token No | SM/24-25/17172 27/06/2024 | Serial | 003 |
| Patient Name | Mrs. ANITA MUKHERJEE | Contact No | 9874925492 |
| Address | 87 DEY STREET | Age | 69 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||