Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 11070 | Date 29/01/2024 |
| Token No | SM/24-25/18245 17/08/2024 | Serial | 005 |
| Patient Name | Mrs. LILY CHAKRABORTY | Contact No | 8013282402 |
| Address | 129 NEHERU NAGAR | Age | 59 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||