Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 11948 | Date 12/08/2024 |
| Token No | SM/24-25/18126 12/08/2024 | Serial | 015 |
| Patient Name | Mrs. MITALI DUTTA | Contact No | 8334928134 |
| Address | 3/B BROJO DUTTA LANE | Age | 40 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||