Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 06297 | Date 06/07/2022 |
| Token No | SM/24-25/17868 01/08/2024 | Serial | 024 |
| Patient Name | Mrs. MONIKA KARMAKAR | Contact No | 8420335237 |
| Address | 4 DHULIPARA LANE | Age | 39 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||