Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 11756 | Date 08/07/2024 |
| Token No | SM/24-25/17402 08/07/2024 | Serial | 011 |
| Patient Name | Mrs. MANJU PARAMANIK | Contact No | 8820490673 |
| Address | 68 POTUA PARA LANE | Age | 53 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||