Ticket for Outdoor Patient
| Ward No. 20 | U-PHC No. | Registration No. 05902 | Date 23/05/2022 |
| Token No | SM/24-25/17921 05/08/2024 | Serial | 023 |
| Patient Name | Mrs. RAJASHREE CHATTERJEE | Contact No | NOT GIVEN |
| Address | 11/2 S C SHASTRI STREET | Age | 34 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||