Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 07291 | Date 17/10/2022 |
| Token No | SM/22-23/14537 01/02/2024 | Serial | 009 |
| Patient Name | Mrs. KASTURI SAHA | Contact No | 8232024178 |
| Address | 51/F S.P.MUKHERJEE SARANI | Age | 52 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||