Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 07135 | Date 26/09/2022 |
| Token No | SM/22-23/13827 16/12/2023 | Serial | 007 |
| Patient Name | Mrs. SANGITA DASGUPTA | Contact No | 7958745841 |
| Address | B L C MILLS ROAD | Age | 32 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||