Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 11671 | Date 18/06/2024 |
| Token No | SM/24-25/16929 18/06/2024 | Serial | 005 |
| Patient Name | Mrs. LAKKHI DAS | Contact No | 8478921346 |
| Address | 16 KAILASH CHATTERJEE LANE | Age | 54 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||