Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 11757 | Date 08/07/2024 |
| Token No | SM/24-25/17403 08/07/2024 | Serial | 012 |
| Patient Name | Mrs. BAISAKHI PRAMANIK | Contact No | 8981257443 |
| Address | 68 POYUA PARA | Age | 59 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||