Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 05442 | Date 17/02/2022 |
| Token No | SM/22-23/13841 16/12/2023 | Serial | 021 |
| Patient Name | Mrs. MONGALA ROY | Contact No | 8478960060 |
| Address | 34B DEY BAGAN | Age | 55 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||