Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 05962 | Date 27/05/2022 |
| Token No | SM/25-26/6070 26/10/2026 | Serial | 020 |
| Patient Name | Mrs. ROSHMITA SAHA | Contact No | 9674436759 |
| Address | 37 NABAKRISHNA GUIN LANE | Age | 43 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||