Ticket for Outdoor Patient
| Ward No. 20 | U-PHC No. | Registration No. 06354 | Date 14/07/2022 |
| Token No | SM/24-25/17266 01/07/2024 | Serial | 026 |
| Patient Name | Mrs. MONOSHREE HAZRA | Contact No | 9062164940 |
| Address | MAHESH SHIBTALA LANE | Age | 46 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||