Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 11367 | Date 03/04/2024 |
| Token No | SM/24-25/18490 30/08/2024 | Serial | 012 |
| Patient Name | Mrs. APARNA DAS | Contact No | 7278654437 |
| Address | 25 DEY BAGAN LANE | Age | 25 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||