Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 02246 | Date 13/06/2019 |
| Token No | SM/24-25/20520 15/01/2025 | Serial | 016 |
| Patient Name | Mrs. BULU PAL | Contact No | NOT GIVEN |
| Address | 2 DR. CHATTERJEE LANE | Age | 42 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||