Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 10504 | Date 25/09/2023 |
| Token No | SM/24-25/16769 10/06/2024 | Serial | 018 |
| Patient Name | Mrs. RABI SUSHMA | Contact No | 7044343740 |
| Address | 45 N L BHATTACHARTJEE STREET | Age | 48 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||