Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 11938 | Date 12/08/2024 |
| Token No | SM/24-25/18112 12/08/2024 | Serial | 001 |
| Patient Name | Mrs. SUMANA DEY | Contact No | 9432067979 |
| Address | 4A DEY STREET | Age | 36 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||