Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 09375 | Date 16/06/2023 |
| Token No | SM/24-25/16709 06/06/2024 | Serial | 011 |
| Patient Name | Mrs. SHANTI GHOSH | Contact No | 9804156227 |
| Address | 23 BHAGIRATHI LANE | Age | 55 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||