Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 09601 | Date 12/07/2023 |
| Token No | SM/24-25/15877 22/04/2024 | Serial | 018 |
| Patient Name | Mrs. SHYAMALI DEY | Contact No | 6291003731 |
| Address | 3 AKC BHATAACHARYA STREET | Age | 62 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||