Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 04936 | Date 27/09/2021 |
| Token No | SM/24-25/17885 03/08/2024 | Serial | 005 |
| Patient Name | Miss TANUSHREE DUTTA | Contact No | 9163193107 |
| Address | 646 G T ROAD, KALITALA | Age | 19 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||