Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 08664 | Date 28/03/2023 |
| Token No | SM/22-23/8602 28/03/2023 | Serial | 009 |
| Patient Name | Mrs. JAYANTI CHATTERJEE | Contact No | 9874938077 |
| Address | 115 THAKURBATI ST | Age | 66 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||