Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 11814 | Date 18/07/2024 |
| Token No | SM/24-25/17651 20/07/2024 | Serial | 031 |
| Patient Name | Mrs. SOUMITA KOLEY | Contact No | 9674549620 |
| Address | DEY ST | Age | 24 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||