Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 10724 | Date 02/11/2023 |
| Token No | SM/22-23/13153 02/11/2023 | Serial | 015 |
| Patient Name | Mrs. KANAN CHANDA | Contact No | 7003431840 |
| Address | 33 DEY BAGAN LANE | Age | 62 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||