Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 11608 | Date 05/06/2024 |
| Token No | SM/24-25/16684 05/06/2024 | Serial | 022 |
| Patient Name | Mrs. TANIA MONDAL | Contact No | 8016120352 |
| Address | 86/1/C DEY STREET | Age | 30 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||