Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 05899 | Date 23/05/2022 |
| Token No | SM/22-23/6882 08/12/2022 | Serial | 011 |
| Patient Name | Mrs. ANITA HALDER | Contact No | 9051741641 |
| Address | 55/D THAKUR BATI STREET | Age | 54 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||