Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 12066 | Date 05/09/2024 |
| Token No | SM/24-25/18750 11/09/2024 | Serial | 013 |
| Patient Name | Mrs. KAMALA DAS. | Contact No | 8017339718 |
| Address | 30C J.N. LAHIRI ROAD | Age | 50 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||