Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 09243 | Date 05/06/2023 |
| Token No | SM/22-23/10829 12/07/2023 | Serial | 035 |
| Patient Name | Mrs. MOUSUMI BASKEY | Contact No | 8910284143 |
| Address | 68 THAKURBATI STREET | Age | 27 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||