Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 11082 | Date 31/01/2024 |
| Token No | SM/22-23/14516 31/01/2024 | Serial | 035 |
| Patient Name | Mrs. PRITI DAS | Contact No | 7699663661 |
| Address | 46 G.T. ROAD, KALITALA | Age | 21 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||