Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 11554 | Date 22/05/2024 |
| Token No | SM/24-25/16391 22/05/2024 | Serial | 003 |
| Patient Name | Miss MONALISA KUNDU | Contact No | 9123950625 |
| Address | 25 G T ROAD, MADAM BAGAN | Age | 40 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||