Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 09530 | Date 04/07/2023 |
| Token No | SM/22-23/10579 04/07/2023 | Serial | 001 |
| Patient Name | Mrs. MAYA BANERJEE | Contact No | 7439110155 |
| Address | 59 BHAGIRATHI LANE | Age | 88 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||