Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 11656 | Date 14/06/2024 |
| Token No | SM/24-25/16894 14/06/2024 | Serial | 002 |
| Patient Name | Mrs. ATRAYEE CHATTERJEE | Contact No | 8910107324 |
| Address | 23A PANCHANAN TALA LANE | Age | 40 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||