Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 11320 | Date 27/03/2024 |
| Token No | SM/22-23/15446 27/03/2024 | Serial | 026 |
| Patient Name | Mrs. RUKMINA DEBI | Contact No | 6290161239 |
| Address | 17/C N.L. BHATTACHARYA STREET | Age | 50 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||