Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 10177 | Date 28/08/2023 |
| Token No | SM/22-23/12043 28/08/2023 | Serial | 045 |
| Patient Name | Mrs. BULU SARKEL | Contact No | 9330538657 |
| Address | 42 NO THAKURBATI STREET | Age | 50 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||