Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 11727 | Date 01/07/2024 |
| Token No | SM/24-25/17257 01/07/2024 | Serial | 017 |
| Patient Name | Miss RUPSA SETT | Contact No | 7003521933 |
| Address | CHATTERJEE LANE | Age | 18 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||