Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 10205 | Date 29/08/2023 |
| Token No | SM/22-23/12081 29/08/2023 | Serial | 014 |
| Patient Name | Miss BITHI BHATTYACHARYA | Contact No | 8013312981 |
| Address | 15 SHITAL SARKAR LANE | Age | 27 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||