Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 05322 | Date 19/01/2022 |
| Token No | SM/21-22/1944 19/01/2022 | Serial | 007 |
| Patient Name | Mrs. MALA BHATTACHARJEE | Contact No | 7439692782 |
| Address | 107/A THAKUR BATI STREET | Age | 66 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||