Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 08382 | Date 20/02/2023 |
| Token No | SM/22-23/11777 21/08/2023 | Serial | 012 |
| Patient Name | Mrs. SHYAMALI ROY | Contact No | 9681381485 |
| Address | 8A NILMONI GHOSH LANE | Age | 48 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||