Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 11366 | Date 03/04/2024 |
| Token No | SM/24-25/15666 08/04/2024 | Serial | 025 |
| Patient Name | Mrs. RIMPA SADHUKHAN | Contact No | 9123623465 |
| Address | 35/A SASHI BHUSAN GHOSH LANE | Age | 30 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||