Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 07411 | Date 26/10/2022 |
| Token No | SM/22-23/10552 03/07/2023 | Serial | 022 |
| Patient Name | Mrs. PARBATI MANNA | Contact No | NOT GIVEN |
| Address | 51/1/B/3 BHAGIRATHI LANE | Age | 62 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||