Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 10546 | Date 27/09/2023 |
| Token No | SM/24-25/17186 27/06/2024 | Serial | 017 |
| Patient Name | Miss RASHMITA SAHA | Contact No | 7980231155 |
| Address | 21 CHOWDHURI PARA LANE | Age | 41 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||