Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 11360 | Date 03/04/2024 |
| Token No | SM/24-25/15582 03/04/2024 | Serial | 008 |
| Patient Name | Mrs. BANDANA DEY | Contact No | 7603048276 |
| Address | 12 RAIGHAT LANE | Age | 63 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||