Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 07634 | Date 14/11/2022 |
| Token No | SM/22-23/6262 14/11/2022 | Serial | 015 |
| Patient Name | Mrs. SADHANA GHOSH | Contact No | 9051611854 |
| Address | 2/O SASHI BHUISAN GHOSH 3RD BYE LANE | Age | 36 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||