Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 11110 | Date 08/02/2024 |
| Token No | SM/22-23/14653 08/02/2024 | Serial | 002 |
| Patient Name | Mrs. TAPATI BHOWMICK | Contact No | 7363948082 |
| Address | DHULI PARA | Age | 65 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||