Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 09443 | Date 21/06/2023 |
| Token No | SM/22-23/10384 21/06/2023 | Serial | 030 |
| Patient Name | Mrs. SONI CHOWDHURY | Contact No | 8910136721 |
| Address | ASUTOSH CHATTERJEE LANE | Age | 36 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||