Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10849 | Date 30/11/2023 |
| Token No | SM/24-25/17645 20/07/2024 | Serial | 025 |
| Patient Name | Mrs. JHUMPA PALIT | Contact No | 8981440010 |
| Address | DAKSHIN JAGAL PARA, MASAT | Age | 36 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||