Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 02271 | Date 14/06/2019 |
| Token No | SM/24-25/18230 16/08/2024 | Serial | 033 |
| Patient Name | Mrs. PAMPA BHATTACHARYA | Contact No | NOT GIVEN |
| Address | 17 G.T. ROAD | Age | 41 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||