Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 11438 | Date 23/04/2024 |
| Token No | SM/24-25/16605 31/05/2024 | Serial | 006 |
| Patient Name | Mrs. ISHA HAZRA | Contact No | 6289068712 |
| Address | 37 BARAL BAGAN | Age | 18 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||