Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 09602 | Date 12/07/2023 |
| Token No | SM/22-23/14981 28/02/2024 | Serial | 019 |
| Patient Name | Mrs. JYOTSNA CHATTERJEE | Contact No | 9874685746 |
| Address | 592/A G T ROAD | Age | 56 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||