Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 10671 | Date 16/10/2023 |
| Token No | SM/22-23/13414 29/11/2023 | Serial | 011 |
| Patient Name | Mrs. SONALI KUMARI TANTI | Contact No | 8276883309 |
| Address | 16 KAILASH CHATTERJEE LANE | Age | 22 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||