Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08283 | Date 07/02/2023 |
| Token No | SM/22-23/7739 07/02/2023 | Serial | 034 |
| Patient Name | Mrs. SOMA BHATTACHARJEE | Contact No | 9123018766 |
| Address | 12 BIPLOBI PULIN DAS STREET, KOLKATA 9 | Age | 46 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||