Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 07978 | Date 17/12/2022 |
| Token No | SM/22-23/7057 17/12/2022 | Serial | 003 |
| Patient Name | Mrs. KALYANI CHAKRABORTY | Contact No | 7003859278 |
| Address | 15 BROJO DUTTA LANE | Age | 60 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||