Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 04455 | Date 08/06/2021 |
| Token No | SM/24-25/17700 24/07/2024 | Serial | 002 |
| Patient Name | Mrs. SUPARNA DAS NATH | Contact No | 9073019182 |
| Address | 57/33 RAILAND ROAD | Age | 22 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||