Ticket for Outdoor Patient
| Ward No. 24 | U-PHC No. | Registration No. 11978 | Date 20/08/2024 |
| Token No | SM/24-25/18282 20/08/2024 | Serial | 025 |
| Patient Name | Mrs. SABITA CHAKRABORTY | Contact No | 7686916967 |
| Address | 56 BAISNAB PARA 1ST LANE | Age | 45 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||