Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 12258 | Date 22/10/2024 |
| Token No | SM/24-25/21160 03/03/2025 | Serial | 021 |
| Patient Name | Mrs. SUDESHNA BAG | Contact No | 6289179590 |
| Address | 3/A SASHIBHUSAN GHOSH LANE | Age | 17 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||