Ticket for Outdoor Patient
| Ward No. 21 | U-PHC No. | Registration No. 11009 | Date 03/01/2024 |
| Token No | SM/22-23/14084 03/01/2024 | Serial | 041 |
| Patient Name | Mrs. CHHAYA DUTTA | Contact No | 9433854780 |
| Address | BAISHNAB PARA 1ST LANE | Age | 67 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||