Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 09801 | Date 28/07/2023 |
| Token No | SM/22-23/11245 28/07/2023 | Serial | 007 |
| Patient Name | Mrs. MANJU DEBI | Contact No | 6289963036 |
| Address | S B GHOSH LANE | Age | 37 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||