Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 11001 | Date 03/01/2024 |
| Token No | SM/22-23/14052 03/01/2024 | Serial | 009 |
| Patient Name | Mrs. MOUSUMI SAHA | Contact No | 8013125168 |
| Address | 185/1 NEHERU NAGAR COLONY | Age | 24 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||