Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 03353 | Date 11/11/2019 |
| Token No | SM/22-23/15171 11/03/2024 | Serial | 022 |
| Patient Name | Mrs. JOYSHREE CHAUDHURI | Contact No | 26526202 |
| Address | 17/3 CHOWDHURI PARA LANE | Age | 41 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||