Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 08031 | Date 27/12/2022 |
| Token No | SM/24-25/19236 07/10/2024 | Serial | 023 |
| Patient Name | Mrs. MOUSUMI SEN GHOSH | Contact No | 9836424408 |
| Address | 622 G. T. ROAD | Age | 31 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||