Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 06344 | Date 13/07/2022 |
| Token No | SM/22-23/14722 10/02/2024 | Serial | 001 |
| Patient Name | Mrs. DHUPATI DEBI | Contact No | 8709419420 |
| Address | 29 N L BHATTACHARJEE STREET | Age | 21 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||