Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 09985 | Date 16/08/2023 |
| Token No | SM/22-23/11650 16/08/2023 | Serial | 023 |
| Patient Name | Miss SIBANI BANERJEE | Contact No | 9674434513 |
| Address | 83 THAKURBATI STREET | Age | 40 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||