Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 02869 | Date 21/08/2019 |
| Token No | SM/22-23/6794 03/12/2022 | Serial | 004 |
| Patient Name | Mrs. KRISHNA MAITY | Contact No | 9733494650 |
| Address | 48/6 BHAGIRATHI LANE | Age | 49 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||