Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 11585 | Date 30/05/2024 |
| Token No | SM/24-25/16592 30/05/2024 | Serial | 013 |
| Patient Name | Mrs. PAYEL ROY | Contact No | 7044108402 |
| Address | 3 PITAMBAR DEY LANE | Age | 20 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||