Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 10087 | Date 22/08/2023 |
| Token No | SM/22-23/14576 05/02/2024 | Serial | 005 |
| Patient Name | Mrs. REBA GHOSH | Contact No | 8100449368 |
| Address | 39A S B GHOSH LANE | Age | 61 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||