Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 10586 | Date 29/09/2023 |
| Token No | SM/22-23/12819 29/09/2023 | Serial | 019 |
| Patient Name | Mrs. TANU GHOSH | Contact No | 8335940484 |
| Address | 39/1 SASHIBHUSHAN GHOSH LANE | Age | 44 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||