Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 11178 | Date 21/02/2024 |
| Token No | SM/22-23/14846 21/02/2024 | Serial | 015 |
| Patient Name | Mrs. SARASWATI BAG | Contact No | 8420088360 |
| Address | 34/2 BHAGIRATHI LANE | Age | 50 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||