Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 07782 | Date 23/11/2022 |
| Token No | SM/22-23/6566 23/11/2022 | Serial | 014 |
| Patient Name | Mrs. MOUSUMI BISWAS | Contact No | 9643127350 |
| Address | 537D G.T. ROAD | Age | 38 Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||