Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 06601 | Date 03/08/2022 |
| Token No | SM/24-25/17206 27/06/2024 | Serial | 037 |
| Patient Name | Mrs. SARASWATI SHAW | Contact No | 8100841505 |
| Address | 89 J N LAHIRI ROAD | Age | 30 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||