Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 10056 | Date 21/08/2023 |
| Token No | SM/24-25/18864 19/09/2024 | Serial | 011 |
| Patient Name | Mrs. RUMA DEY | Contact No | 7685849861 |
| Address | 140 G T ROAD, MANIKTALA | Age | 48 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||