Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 05849 | Date 17/05/2022 |
| Token No | SM/22-23/2983 17/05/2022 | Serial | 009 |
| Patient Name | Mrs. SABITA GHOSH | Contact No | 7439885591 |
| Address | 28/21 S B GHOSH LANE | Age | 59 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||