Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 10086 | Date 22/08/2023 |
| Token No | SM/22-23/11845 22/08/2023 | Serial | 024 |
| Patient Name | Mrs. NAMITA MUKHERJEE | Contact No | 8479807106 |
| Address | 536 G T ROAD, MANIKTALA | Age | 55 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||