Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 05801 | Date 06/05/2022 |
| Token No | SM/24-25/17597 18/07/2024 | Serial | 039 |
| Patient Name | Mrs. MOUSUMI BAG | Contact No | 9748376492 |
| Address | 83 DEY STREET | Age | 28 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||