Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05706 | Date 19/04/2022 |
| Token No | SM/22-23/14917 22/02/2024 | Serial | 023 |
| Patient Name | Mrs. SIKHA BISWAS GHOSH | Contact No | 9088721803 |
| Address | RISHRA SUBHASH NAGAR | Age | 34 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||