Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 09207 | Date 01/06/2023 |
| Token No | SM/22-23/9911 01/06/2023 | Serial | 019 |
| Patient Name | Mrs. KALPANA PAL | Contact No | 9893450690 |
| Address | 10 SASHIBHUSAN GHOSH LANE | Age | 63 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||