Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 08805 | Date 21/04/2023 |
| Token No | SM/22-23/9030 21/04/2023 | Serial | 050 |
| Patient Name | Mrs. PRIYA SAMANTA KARMAKAR | Contact No | NOT GIVEN |
| Address | 48/K S P MUKHERJEE SARANI | Age | 32 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||