Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 06644 | Date 05/08/2022 |
| Token No | SM/22-23/14543 01/02/2024 | Serial | 015 |
| Patient Name | Mrs. SOMA ROY | Contact No | 7003875522 |
| Address | 134/3/A THAKUR BATI | Age | 47 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||