Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 04821 | Date 27/08/2021 |
| Token No | SM/24-25/15808 18/04/2024 | Serial | 020 |
| Patient Name | Mrs. RITA MAJUMDER | Contact No | NOT GIVEN |
| Address | S C GHOSH LANE | Age | 63 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||