Ticket for Outdoor Patient
| Ward No. 21 | U-PHC No. | Registration No. 07861 | Date 01/12/2022 |
| Token No | SM/24-25/17227 28/06/2024 | Serial | 013 |
| Patient Name | Mrs. MADHABI GHOSH | Contact No | 9836049025 |
| Address | 34/B BAISHNAB PARA 2ND LANE | Age | 56 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||