Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 02850 | Date 20/08/2019 |
| Token No | SM/24-25/15841 19/04/2024 | Serial | 011 |
| Patient Name | Miss SUSMITA KARMAKAR | Contact No | 9230129380 |
| Address | 105 J N LAHIRI ROAD | Age | 32 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||