Ticket for Outdoor Patient
| Ward No. 23 | U-PHC No. | Registration No. 07076 | Date 17/09/2022 |
| Token No | SM/24-25/17223 28/06/2024 | Serial | 009 |
| Patient Name | Mrs. NELI GHOSH | Contact No | 7008745874 |
| Address | KHAIR BAZAR | Age | 53 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||