Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 10951 | Date 13/12/2023 |
| Token No | SM/24-25/18458 29/08/2024 | Serial | 022 |
| Patient Name | Mrs. SHRABANTI MONDAL | Contact No | 9831561525 |
| Address | 39B SASHI BHUSHAN GHOSH LANE | Age | 38 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||