Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 08024 | Date 27/12/2022 |
| Token No | SM/22-23/7177 27/12/2022 | Serial | 021 |
| Patient Name | Mrs. CHANDRA MAJUMDER | Contact No | 9674535991 |
| Address | SHYAMSUNDAR APARTMENT, THAKUR BATI STREET | Age | 55 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||