Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 11523 | Date 13/05/2024 |
| Token No | SM/24-25/16217 13/05/2024 | Serial | 023 |
| Patient Name | Mrs. TITASH MAZUMDER | Contact No | 9903227712 |
| Address | 50 NEHERU NAGAR COLONY | Age | 24 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||