Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 11385 | Date 08/04/2024 |
| Token No | SM/24-25/18355 23/08/2024 | Serial | 007 |
| Patient Name | Mrs. SUNITA RAM(SARKAR) | Contact No | 7980169339 |
| Address | 35A DEY BAGAN | Age | 29 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||