Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 11615 | Date 06/06/2024 |
| Token No | SM/24-25/16710 06/06/2024 | Serial | 012 |
| Patient Name | Miss PAYEL DHAK | Contact No | 9330476370 |
| Address | 39C NILMONI GHOSH LANE | Age | 14 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||