Ticket for Outdoor Patient
| Ward No. 20 | U-PHC No. | Registration No. 12039 | Date 31/08/2024 |
| Token No | SM/24-25/18509 31/08/2024 | Serial | 006 |
| Patient Name | Mrs. SABITA SAHA | Contact No | 9123988244 |
| Address | SHIB TALA LANE | Age | 65 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||