Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 06897 | Date 02/09/2022 |
| Token No | SM/22-23/4844 02/09/2022 | Serial | 040 |
| Patient Name | Mrs. PIYALI MUKHERJEE | Contact No | 9684578410 |
| Address | 17 THAKUR BATI STREET | Age | 36 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||