Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 12077 | Date 07/09/2024 |
| Token No | SM/24-25/18650 07/09/2024 | Serial | 004 |
| Patient Name | Mrs. PAYEL GHOSH | Contact No | 7439885591 |
| Address | 28/21 SASHIBHUSHAN GHOSH LANE | Age | 27 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||