Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 07625 | Date 14/11/2022 |
| Token No | SM/22-23/15151 11/03/2024 | Serial | 002 |
| Patient Name | Mrs. SOMA DUTTA. | Contact No | 9874348183 |
| Address | 169B THAKUR BATI STREET | Age | 43 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||