Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 11542 | Date 16/05/2024 |
| Token No | SM/24-25/16292 16/05/2024 | Serial | 011 |
| Patient Name | Mrs. SHIBANI MALIK | Contact No | 9051975657 |
| Address | 4 S B GHOSH LANE | Age | 58 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||