Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 06650 | Date 08/08/2022 |
| Token No | SM/22-23/4378 08/08/2022 | Serial | 004 |
| Patient Name | Mrs. ARENA ROY CHOWDHURY | Contact No | 9883670314 |
| Address | 144/D THAKUR BATI | Age | 28 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||