Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 07408 | Date 26/10/2022 |
| Token No | SM/24-25/17331 04/07/2024 | Serial | 026 |
| Patient Name | Mrs. KUSUM ROY | Contact No | 9830154497 |
| Address | 22 BOSE PARA | Age | 58 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||