Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 11545 | Date 16/05/2024 |
| Token No | SM/24-25/16315 16/05/2024 | Serial | 034 |
| Patient Name | Miss MANYATA DAS | Contact No | 8910507827 |
| Address | 41 DR. KALIDAS BHATTACHARJEE LANE | Age | 10 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||