Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 05478 | Date 28/02/2022 |
| Token No | SM/24-25/20073 07/12/2024 | Serial | 010 |
| Patient Name | Mrs. SOVA KUNDU | Contact No | 9088890089 |
| Address | 545 G T ROAD | Age | 53 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||