Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 11279 | Date 14/03/2024 |
| Token No | SM/22-23/15253 14/03/2024 | Serial | 003 |
| Patient Name | Mrs. SONAMANI KARMAKAR | Contact No | 9681865115 |
| Address | 56 DHULIPARA LANE | Age | 29 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||