Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07946 | Date 14/12/2022 |
| Token No | SM/22-23/13676 11/12/2023 | Serial | 017 |
| Patient Name | Mrs. JHARNA CHATTERJEE | Contact No | |
| Address | thakurbati street | Age | 35 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||