Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 03698 | Date 07/01/2020 |
| Token No | SM/24-25/15857 20/04/2024 | Serial | 007 |
| Patient Name | Mrs. SUBHADRA PRAMANIK | Contact No | 9830908400 |
| Address | K C BHATTACHARJEE STREET | Age | 53 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 58 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||