Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 11101 | Date 07/02/2024 |
| Token No | SM/24-25/18589 04/09/2024 | Serial | 025 |
| Patient Name | Mrs. SONA ROY | Contact No | 8927724426 |
| Address | 18/149 DR. N.L. BHATTACHARYA ST | Age | 20 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||