Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 11402 | Date 13/04/2024 |
| Token No | SM/24-25/15719 13/04/2024 | Serial | 010 |
| Patient Name | Mrs. ALPANA DUTTA | Contact No | 8583989945 |
| Address | 20 J.N. LAHIRI ROAD | Age | 30 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||