Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 10002 | Date 18/08/2023 |
| Token No | SM/22-23/11703 18/08/2023 | Serial | 003 |
| Patient Name | Mrs. ASHIMA MUKHERJEE | Contact No | 8479948390 |
| Address | 34/C DEY BAGAN LANE | Age | 53 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||