Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 06028 | Date 08/06/2022 |
| Token No | SM/22-23/8544 25/03/2023 | Serial | 006 |
| Patient Name | Mrs. SHARMISTA MUKHERJEE | Contact No | 6290238098 |
| Address | 97/B/1/1 THAKUR BATI STREET | Age | 26 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||