Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 05639 | Date 04/04/2022 |
| Token No | SM/22-23/13677 11/12/2023 | Serial | 018 |
| Patient Name | Mrs. RIMAPA NANDI | Contact No | 9123623465 |
| Address | S B GHOSH LANE | Age | 28 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||