Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 11329 | Date 28/03/2024 |
| Token No | SM/22-23/15479 28/03/2024 | Serial | 014 |
| Patient Name | Miss SUJATA SHIL | Contact No | |
| Address | BANERJEE PARA | Age | 45 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||