Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 09936 | Date 10/08/2023 |
| Token No | SM/22-23/11534 10/08/2023 | Serial | 015 |
| Patient Name | Mrs. NILIMA DAS | Contact No | 9051914492 |
| Address | 47 S.P. MUKHERJEE SARANI | Age | 44 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||