Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 07526 | Date 05/11/2022 |
| Token No | SM/22-23/6041 05/11/2022 | Serial | 004 |
| Patient Name | Mrs. ANJANA CHAKRABORTY | Contact No | 7000848566 |
| Address | 95 THAKUR BATI STREET | Age | 58 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||