Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 04374 | Date 11/05/2021 |
| Token No | SM/22-23/14225 11/01/2024 | Serial | 001 |
| Patient Name | Mrs. UMA BHATTACHARJEE | Contact No | 9477530550 |
| Address | 113 NEHERU NAGAR COLONY | Age | 44 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||