Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 11489 | Date 09/05/2024 |
| Token No | SM/24-25/16104 09/05/2024 | Serial | 003 |
| Patient Name | Mrs. LAKKHI RANI SARKAR | Contact No | 9804998015 |
| Address | 59 PATUA PARA LANE | Age | 61 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||