Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 11653 | Date 13/06/2024 |
| Token No | SM/24-25/16888 13/06/2024 | Serial | 037 |
| Patient Name | Mrs. SATYABATI MALLICK | Contact No | 8334073862 |
| Address | 12 PITAMBAR DEY LANE | Age | 34 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||