Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 06757 | Date 17/08/2022 |
| Token No | SM/22-23/4573 17/08/2022 | Serial | 005 |
| Patient Name | Mrs. SONALI MAL | Contact No | 7449910543 |
| Address | 39/A S B GHOSH LANE | Age | 36 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||