Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 09199 | Date 01/06/2023 |
| Token No | SM/22-23/9893 01/06/2023 | Serial | 001 |
| Patient Name | Mrs. PAMPA BISWAS | Contact No | 8481048175 |
| Address | 33 S B GHOSH LANE | Age | 40 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||