Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 10791 | Date 22/11/2023 |
| Token No | SM/24-25/15668 08/04/2024 | Serial | 027 |
| Patient Name | Mrs. NISHA CHOUDHARY | Contact No | 8621853457 |
| Address | 14/A ASUTOSH CHATTERJEE LANE | Age | 26 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||