Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 03263 | Date 22/10/2019 |
| Token No | SM/22-23/15173 11/03/2024 | Serial | 024 |
| Patient Name | Mrs. TANUSREE BHATTACHARYA | Contact No | 7044127241 |
| Address | 18/B/1 BHAGIRATHI LANE | Age | 62 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||