Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 07453 | Date 31/10/2022 |
| Token No | SM/24-25/17619 19/07/2024 | Serial | 006 |
| Patient Name | Mrs. KAJAL CHANDRA | Contact No | 7003431840 |
| Address | 33 DEY BAGAN | Age | 63 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||