Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 11860 | Date 29/07/2024 |
| Token No | SM/24-25/17798 29/07/2024 | Serial | 025 |
| Patient Name | Mrs. SOVA SETH | Contact No | 8100375838 |
| Address | 10 CHATTERJEE LANE | Age | 57 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||