Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 08587 | Date 20/03/2023 |
| Token No | SM/24-25/16609 31/05/2024 | Serial | 010 |
| Patient Name | Mrs. JHUMPA SHARMA | Contact No | 8420167011 |
| Address | 16C KAILASH CHANDRA CHATTERJEE LANE | Age | 44 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||