Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 11311 | Date 23/03/2024 |
| Token No | SM/22-23/15416 23/03/2024 | Serial | 008 |
| Patient Name | Mrs. BISAKHA MALLICK | Contact No | 9330618743 |
| Address | 13/A/1/2 CHATTERJEE LANE | Age | 60 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||