Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 08274 | Date 07/02/2023 |
| Token No | SM/22-23/7720 07/02/2023 | Serial | 015 |
| Patient Name | Mrs. VROMOR CHAKRABORTY | Contact No | 9641303598 |
| Address | 22/H/5 JANNAGAR ROAD, MAHESH | Age | 25 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||