Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 06896 | Date 02/09/2022 |
| Token No | SM/22-23/5590 17/10/2022 | Serial | 044 |
| Patient Name | Mrs. GEETA BHATTACHARYA | Contact No | 7890561834 |
| Address | 68/3 THAKUR BATI STREET | Age | 71 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||