Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 11553 | Date 22/05/2024 |
| Token No | SM/24-25/16389 22/05/2024 | Serial | 001 |
| Patient Name | Mrs. BANALATA KUNDU | Contact No | 9903757494 |
| Address | 9 KASHI DAKTAR LANE | Age | 66 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||