Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 08381 | Date 20/02/2023 |
| Token No | SM/22-23/13382 25/11/2023 | Serial | 001 |
| Patient Name | Miss ABHINANDA GUHA | Contact No | 7044769432 |
| Address | 30/A/4 S C GHOSH LANE | Age | 35 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||