Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 07390 | Date 25/10/2022 |
| Token No | SM/24-25/16410 22/05/2024 | Serial | 022 |
| Patient Name | Mrs. APARNA DAS ADHIKARY | Contact No | 9748030295 |
| Address | 11U S.B. GHOSH LANE | Age | 39 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||