Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 03272 | Date 22/10/2019 |
| Token No | SM/18-19/7123 22/10/2019 | Serial | 038 |
| Patient Name | Miss JYTSONA BHATTACHARJEE | Contact No | 9051612198 |
| Address | 82 THAKUR BATI STREET | Age | 35 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||