Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 05211 | Date 04/01/2022 |
| Token No | SM/24-25/18170 14/08/2024 | Serial | 005 |
| Patient Name | Mrs. BANDANA MUKHERJEE | Contact No | 8910907556 |
| Address | 10 CHATTERJEE LANE | Age | 43 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||