Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 07583 | Date 10/11/2022 |
| Token No | SM/24-25/17886 03/08/2024 | Serial | 006 |
| Patient Name | Mrs. RATNA CHAKRABORTY | Contact No | 729003619 |
| Address | 76 DEY STREET | Age | 44 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||