Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 10798 | Date 22/11/2023 |
| Token No | SM/22-23/13344 22/11/2023 | Serial | 019 |
| Patient Name | Mrs. PRAMILA SRIMANI | Contact No | 8902253493 |
| Address | 18C KAILASH CHATTERJEE LANE | Age | 71 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||