Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 11912 | Date 07/08/2024 |
| Token No | SM/24-25/17995 07/08/2024 | Serial | 038 |
| Patient Name | Mrs. SABARI MANNA | Contact No | 9748646244 |
| Address | 32/1 CHOWDHURY PARA | Age | 50 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||