Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 11392 | Date 09/04/2024 |
| Token No | SM/24-25/15693 09/04/2024 | Serial | 007 |
| Patient Name | Mrs. MOUSUMI PAL | Contact No | 6291607918 |
| Address | 7/3 POTUA PARA | Age | 52 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||