Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 02025 | Date 23/06/2022 |
| Token No | SM/22-23/6436 01/02/2023 | Serial | 003 |
| Patient Name | Mrs. BANDANA BANERJEE | Contact No | 8961231628 |
| Address | 137/38/O VIVEKANANDA SARANI NOGA BAIDYABATI M 712203 | Age | 60 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||