Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 06029 | Date 08/06/2022 |
| Token No | SM/22-23/13837 16/12/2023 | Serial | 017 |
| Patient Name | Mrs. CHAYNA BASU RAKSHIT | Contact No | 9163260291 |
| Address | 24 THAKUR BATI STREET | Age | 28 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||