Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 11490 | Date 09/05/2024 |
| Token No | SM/24-25/16105 09/05/2024 | Serial | 004 |
| Patient Name | Mrs. MINA DAS | Contact No | 6290965236 |
| Address | 2 CHATTERJEE LANE | Age | 60 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||