Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 11676 | Date 19/06/2024 |
| Token No | SM/24-25/18944 23/09/2024 | Serial | 023 |
| Patient Name | Mrs. PUJA DAS | Contact No | 9123005285 |
| Address | 5 BLC MILLS ROAD | Age | 30 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||