Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 11647 | Date 13/06/2024 |
| Token No | SM/24-25/16852 13/06/2024 | Serial | 001 |
| Patient Name | Mrs. REBA MAJUMDER | Contact No | 9163642743 |
| Address | 41 DR. N.L. BHATTACHARYA STREET | Age | 54 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||