Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 12010 | Date 28/08/2024 |
| Token No | SM/24-25/18435 28/08/2024 | Serial | 040 |
| Patient Name | Mrs. NAZRANA PARVEEN | Contact No | 6289675264 |
| Address | 21 A.K.C. BHATTACHARYA LANE | Age | 24 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||