Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 12096 | Date 12/09/2024 |
| Token No | SM/24-25/18769 12/09/2024 | Serial | 006 |
| Patient Name | Mrs. ARATI MAITY | Contact No | NOT GIVEN |
| Address | 52 KHAS BAGAN LANE | Age | 72 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||