Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 11655 | Date 14/06/2024 |
| Token No | SM/24-25/16893 14/06/2024 | Serial | 001 |
| Patient Name | Mrs. ARATI KUNDU | Contact No | 8100564277 |
| Address | 46 KHAS BAGAN | Age | 40 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||