Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 09016 | Date 11/05/2023 |
| Token No | SM/22-23/9588 16/05/2023 | Serial | 002 |
| Patient Name | Mrs. TANUSHREE BANERJEE | Contact No | 6291692833 |
| Address | 23 AKHRABATI LANE | Age | 24 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||