Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 12127 | Date 23/09/2024 |
| Token No | SM/24-25/18927 23/09/2024 | Serial | 006 |
| Patient Name | Mrs. SHRABANI KOLEY | Contact No | 7003870835 |
| Address | 39 S B GHOSH LANE | Age | 23 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||