Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 12332 | Date 13/11/2024 |
| Token No | SM/24-25/19690 13/11/2024 | Serial | 021 |
| Patient Name | Mrs. SHUKLA CHATTERJEE | Contact No | 9674111704 |
| Address | 66B T B STREET | Age | 73 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||