Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 07038 | Date 14/09/2022 |
| Token No | SM/22-23/14263 15/01/2024 | Serial | 006 |
| Patient Name | Mrs. PUSHPA BHATTACHARJEE | Contact No | 9477530550 |
| Address | 113 N N COLONY | Age | 63 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||