Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 07290 | Date 17/10/2022 |
| Token No | SM/22-23/5597 17/10/2022 | Serial | 051 |
| Patient Name | Mrs. RINKU BOSE | Contact No | 6291115457 |
| Address | 2/B/2 SASHI BHUSAN GHOSH LANE | Age | 23 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||