Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 03461 | Date 21/11/2019 |
| Token No | SM/24-25/18104 09/08/2024 | Serial | 043 |
| Patient Name | Mrs. LILAWATI DEBI | Contact No | 8981993389 |
| Address | 2 BECHU DEY LANE | Age | 51 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 49 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||