Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 08488 | Date 01/03/2023 |
| Token No | SM/22-23/8802 10/04/2023 | Serial | 026 |
| Patient Name | Mrs. SWARNALI MUKHERJEE | Contact No | 9062196065 |
| Address | 70 SHYAMSUNDAR ABASAN, THAKUR BATRI STREET | Age | 28 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||