Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 08405 | Date 21/02/2023 |
| Token No | SM/22-23/13467 30/11/2023 | Serial | 023 |
| Patient Name | Mrs. SUMITA MUKHERJEE | Contact No | 9830304489 |
| Address | 44A CHAKRABORTY LANE | Age | 52 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||