Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 05908 | Date 24/05/2022 |
| Token No | SM/22-23/14945 26/02/2024 | Serial | 014 |
| Patient Name | Mrs. SASWATI KARMAKAR | Contact No | 7602433920 |
| Address | 13/C G.C BHATTACHARYA LANE | Age | 32 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||