Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 10498 | Date 25/09/2023 |
| Token No | SM/22-23/13228 08/11/2023 | Serial | 006 |
| Patient Name | Mrs. RENUKA BISWAS | Contact No | 7595858788 |
| Address | 38B BHAGIRATHI LANE | Age | 72 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||