Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 04553 | Date 30/06/2021 |
| Token No | SM/24-25/20334 23/12/2024 | Serial | 002 |
| Patient Name | Mrs. SRABANTI PAL | Contact No | NOT GIVEN |
| Address | THAKUBATI STREET | Age | 29 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||