Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 05085 | Date 24/11/2021 |
| Token No | SM/22-23/8801 10/04/2023 | Serial | 025 |
| Patient Name | Mrs. DISARI BHATTACHARJEE | Contact No | 9875523377 |
| Address | 113 NEHERU NAGAR COLONY | Age | 19 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||