Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 08713 | Date 05/04/2023 |
| Token No | SM/22-23/8740 05/04/2023 | Serial | 027 |
| Patient Name | Mrs. NAIRITA GHOSH CHAKRABORTY | Contact No | 8420770727 |
| Address | 17 BROJO DUTTA LANE | Age | 35 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||