Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 10234 | Date 31/08/2023 |
| Token No | SM/22-23/15485 28/03/2024 | Serial | 020 |
| Patient Name | Mrs. SARASWATI ROY | Contact No | 8100314534 |
| Address | PACHU BAZAR | Age | 43 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||