Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 09574 | Date 07/07/2023 |
| Token No | SM/22-23/10737 07/07/2023 | Serial | 017 |
| Patient Name | Mrs. BINDU DUTTA | Contact No | 9874829146 |
| Address | 62C BHAGIRATHI LANE | Age | 58 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||