Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 11559 | Date 22/05/2024 |
| Token No | SM/24-25/17209 27/06/2024 | Serial | 040 |
| Patient Name | Mrs. RAJNANDANI SAHANI | Contact No | 7003009082 |
| Address | 106 J.N. LAHIRI ROAD(4TH CHEKUP) | Age | 28 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||