Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 07844 | Date 30/11/2022 |
| Token No | SM/22-23/6714 30/11/2022 | Serial | 003 |
| Patient Name | Mrs. BABITA GHOSH | Contact No | 8478847547 |
| Address | 16 BHAGIRATHI LANE | Age | 25 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||