Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 09521 | Date 03/07/2023 |
| Token No | SM/22-23/10550 03/07/2023 | Serial | 020 |
| Patient Name | Mrs. HARADHAN DUTTA | Contact No | 8420479924 |
| Address | SATISH CHANDRA GHOSH LANE | Age | 58 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||