Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 09031 | Date 12/05/2023 |
| Token No | SM/22-23/9535 12/05/2023 | Serial | 023 |
| Patient Name | Mrs. TUMPA LAHIRI | Contact No | 9864521002 |
| Address | 19 S B GHOSH LANE | Age | 36 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||