Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 11074 | Date 29/01/2024 |
| Token No | SM/24-25/15759 15/04/2024 | Serial | 040 |
| Patient Name | Mrs. SARBANI CHAKRABORTY | Contact No | 7278224816 |
| Address | 129 NEHERU NAGAR COLONY | Age | 39 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||