Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 11091 | Date 01/02/2024 |
| Token No | SM/22-23/14566 01/02/2024 | Serial | 038 |
| Patient Name | Mrs. MITA CHAKRABORTY | Contact No | 9830740326 |
| Address | NALIKUL | Age | 53 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||